Goldbach, Wendy P
Goldbach, Wendy P is an sole proprietor health care provider with primary practice located at 12800 N Lake Shore Dr , Mequon WI 53097-2418. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Goldbach, Wendy P can be contacted via phone (262) 243-4261.Contact Information
Primary practice address
12800 N Lake Shore Dr
Mequon WI 53097-2418
Phone: (262) 243-4261
Fax: (262) 243-4261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 1092026 | Wisconsin |
Profile Details
| NPI number | 1740327618 |
|---|---|
| LBN Legal business name | Goldbach, Wendy P |
| Credentials | OTD MED OTR CHT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1740327618 | NPPES |
| Wisconsin | Other | 1780663013 | NPI |
| Wisconsin | MEDICAID | 40547700 | NPI |
| Wisconsin | Other | 1092-26 | NPI |
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