Lidester, Joseph Michael

Lidester, Joseph Michael is an individual health care provider with primary practice located at 9047 W Greenfield Ave , Milwaukee WI 53214-2808. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Lidester, Joseph Michael can be contacted via phone (414) 453-9290.

Contact Information

Primary practice address
9047 W Greenfield Ave Milwaukee WI 53214-2808
Phone: (414) 453-9290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2578-19 Wisconsin

Profile Details

NPI number 1457803850
LBN Legal business name Lidester, Joseph Michael
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2016
Last updated Nov 1st, 2016 - about 9 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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