Jerdee, Katie Fiona
Jerdee, Katie Fiona is an individual health care provider with primary practice located at 3205 Wood Rd , Racine WI 53406-5048. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Jerdee, Katie Fiona can be contacted via phone (126) 259-8914.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 1921-027 | Wisconsin |
Profile Details
| NPI number | 1760633937 |
|---|---|
| LBN Legal business name | Jerdee, Katie Fiona |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2008 |
| Last updated | Oct 7th, 2008 - about 18 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 | 1760633937 | NPPES |
| Wisconsin | Other | 40892500 | MEDICAID PROGRAM NON BILLING PROVIDER NUMBER |
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