Kruse, Mary T
Kruse, Mary T is an sole proprietor health care provider with primary practice located at 1126 S 70Th St Suite S305B, West Allis WI 53214-3151. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, which is considered as her primary health care specialty. Kruse, Mary T can be contacted via phone (414) 456-2330.Contact Information
Primary practice address
1126 S 70Th St Suite S305B
West Allis WI 53214-3151
Phone: (414) 456-2330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation | 225XN1300X | 1003-026 | Wisconsin |
Profile Details
| NPI number | 1205094646 |
|---|---|
| LBN Legal business name | Kruse, Mary T |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2008 |
| Last updated | May 31st, 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 | 1205094646 | NPPES |
| Wisconsin | Other | 1003-026 | STATE OF WISCONSIN OT LICENSE |
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