Eder, Sabrina Dianne

Eder, Sabrina Dianne is an individual health care provider with primary practice located at 7625 S Howell Ave , Oak Creek WI 53154-2112. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Eder, Sabrina Dianne can be contacted via phone (414) 766-0277.

Contact Information

Primary practice address
7625 S Howell Ave Oak Creek WI 53154-2112
Phone: (414) 766-0277
Fax: (414) 766-0299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6286024 Wisconsin

Profile Details

NPI number 1043351851
LBN Legal business name Eder, Sabrina Dianne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043351851 NPPES
Wisconsin MEDICAID 36145700

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