Eiden, Katherine Lee

Eiden, Katherine Lee is an individual health care provider with primary practice located at 3312 Terrace Ct , Wausau WI 54401-4904. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Eiden, Katherine Lee can be contacted via phone (715) 298-2060.

Contact Information

Primary practice address
3312 Terrace Ct Wausau WI 54401-4904
Phone: (715) 298-2060
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2345-26 Wisconsin

Profile Details

NPI number 1194990242
LBN Legal business name Eiden, Katherine Lee
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Nov 7th, 2012 - about 14 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 1194990242 NPPES
Wisconsin MEDICAID 40768800
Wisconsin Other 2345-26

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