Komoroske, Emily

Komoroske, Emily is an individual health care provider with primary practice located at 5330 Century Ave , Middleton WI 53562-2007. 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. Komoroske, Emily can be contacted via phone (608) 203-8880.

Contact Information

Primary practice address
5330 Century Ave Middleton WI 53562-2007
Phone: (608) 203-8880
Fax: (608) 203-8881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11826-24 Wisconsin

Profile Details

NPI number 1154677979
LBN Legal business name Komoroske, Emily
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2012
Last updated Oct 15th, 2015 - about 11 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 1154677979 NPPES
Wisconsin MEDICAID 100026609

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