Evans, Mary Ellen
Evans, Mary Ellen is an sole proprietor health care provider with primary practice located at 5505 County Road Z , West Bend WI 53095-9224. 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. Evans, Mary Ellen can be contacted via phone (262) 306-4280.Contact Information
Primary practice address
5505 County Road Z
West Bend WI 53095-9224
Phone: (262) 306-4280
Fax: (262) 306-2689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 851-24 | Wisconsin |
Profile Details
| NPI number | 1871822114 |
|---|---|
| LBN Legal business name | Evans, Mary Ellen |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2009 |
| Last updated | Dec 16th, 2009 - about 17 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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