Kissane, Jeanne C
Kissane, Jeanne C is an individual health care provider with primary practice located at W133N6470 Crestwood Dr , Menomonee Falls WI 53051-6094. 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. Kissane, Jeanne C can be contacted via phone (262) 252-3083.Contact Information
Primary practice address
W133N6470 Crestwood Dr
Menomonee Falls WI 53051-6094
Phone: (262) 252-3083
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1269 | Wisconsin |
Profile Details
| NPI number | 1306879564 |
|---|---|
| LBN Legal business name | Kissane, Jeanne C |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1306879564 | NPPES |
| Wisconsin | MEDICAID | 40023200 |
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