Gutschow, Heidi

Gutschow, Heidi is an individual health care provider with primary practice located at 2223 Lime Kiln Rd , Green Bay WI 54311-6213. 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. Gutschow, Heidi can be contacted via phone (920) 965-4715.

Contact Information

Primary practice address
2223 Lime Kiln Rd Green Bay WI 54311-6213
Phone: (920) 965-4715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4641 Wisconsin

Profile Details

NPI number 1295759827
LBN Legal business name Gutschow, Heidi
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Apr 27th, 2023 - about 3 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 1295759827 NPPES
Wisconsin MEDICAID 40220200

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