Home, Dennis

Home, Dennis is an individual health care provider with primary practice located at 2737 Prairie Ave , Beloit WI 53511-2246. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Home, Dennis can be contacted via phone (608) 299-8181.

Contact Information

Primary practice address
2737 Prairie Ave Beloit WI 53511-2246
Phone: (608) 299-8181
Fax: (608) 299-8281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2282-024 Wisconsin

Profile Details

NPI number 1275591174
LBN Legal business name Home, Dennis
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Feb 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275591174 NPPES
Wisconsin MEDICAID 40038600

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