Janke, Michelle Lee

Janke, Michelle Lee is an sole proprietor health care provider with primary practice located at 5505 Highway Z , West Bend WI 53095-9224. 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. Janke, Michelle Lee can be contacted via phone (262) 306-2691.

Contact Information

Primary practice address
5505 Highway Z West Bend WI 53095-9224
Phone: (262) 306-2691
Fax: (262) 306-2689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3940-024 Wisconsin

Profile Details

NPI number 1407906936
LBN Legal business name Janke, Michelle Lee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Mar 17th, 2018 - about 8 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 1407906936 NPPES
Wisconsin MEDICAID 20125800

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