Foudriat, Beth Ann
Foudriat, Beth Ann is an individual health care provider with primary practice located at 3500 Tower Ave , Superior WI 54880-5335. 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. Foudriat, Beth Ann can be contacted via phone (715) 395-5400.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10351-024 | Wisconsin |
Profile Details
| NPI number | 1770512873 |
|---|---|
| LBN Legal business name | Foudriat, Beth Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1770512873 | NPPES |
| Minnesota | Other | 377K5F0 | BLUE CROSS BLUE SHIELD |
| Minnesota | MEDICAID | 36110600 | BLUE CROSS BLUE SHIELD |
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