Deweert, Amy
Deweert, Amy is an individual health care provider with primary practice located at 1555 Dousman St , Green Bay WI 54303-3207. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Deweert, Amy can be contacted via phone (920) 494-4525.Contact Information
Primary practice address
1555 Dousman St
Green Bay WI 54303-3207
Phone: (920) 494-4525
Fax: (920) 494-6887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X |
Profile Details
| NPI number | 1912170440 |
|---|---|
| LBN Legal business name | Deweert, Amy |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2008 |
| Last updated | Apr 4th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912170440 | NPPES |
| Wisconsin | MEDICAID | 40750200 |
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