Heller, Katherine E

Heller, Katherine E is an individual health care provider with primary practice located at 620 W Brown St , Waupun WI 53963-1702. 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. Heller, Katherine E can be contacted via phone (920) 324-6544.

Contact Information

Primary practice address
620 W Brown St Waupun WI 53963-1702
Phone: (920) 324-6544
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10073-024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-012038 Illinois

Profile Details

NPI number 1568403095
LBN Legal business name Heller, Katherine E
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 13th, 2011 - about 15 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 1568403095 NPPES
Wisconsin MEDICAID 40396400

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