Koehler, Eric
Koehler, Eric is an sole proprietor health care provider with primary practice located at 3475 Omro Rd Ste 300 , Oshkosh WI 54904. 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. Koehler, Eric can be contacted via phone (920) 230-2747.Contact Information
Primary practice address
3475 Omro Rd Ste 300
Oshkosh WI 54904
Phone: (920) 230-2747
Fax: (920) 385-7074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4017-024 | Wisconsin |
Profile Details
| NPI number | 1700043502 |
|---|---|
| LBN Legal business name | Koehler, Eric |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2008 |
| Last updated | Nov 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700043502 | NPPES |
| Wisconsin | MEDICAID | 40187000 |
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