Konrath, Samuel Lawrence
Konrath, Samuel Lawrence is an individual health care provider with primary practice located at 712 Broadway St S , Menomonie WI 54751-2458. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Konrath, Samuel Lawrence can be contacted via phone (414) 573-6009.Contact Information
Primary practice address
712 Broadway St S
Menomonie WI 54751-2458
Phone: (414) 573-6009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2466 | Wisconsin |
Profile Details
| NPI number | 1306335385 |
|---|---|
| LBN Legal business name | Konrath, Samuel Lawrence |
| Credentials | ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2018 |
| Last updated | Oct 14th, 2021 - about 4 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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