Luitjens, Cary Ann

Luitjens, Cary Ann is an individual health care provider with primary practice located at 3051 Progress Way Ste 201 , Kaukauna WI 54130-9591. 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. Luitjens, Cary Ann can be contacted via phone (920) 560-1147.

Contact Information

Primary practice address
3051 Progress Way Ste 201 Kaukauna WI 54130-9591
Phone: (920) 560-1147
Fax: (920) 462-5161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3609024 Wisconsin

Profile Details

NPI number 1053387621
LBN Legal business name Luitjens, Cary Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Nov 26th, 2021 - about 5 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 1053387621 NPPES
Wisconsin MEDICAID 40298900

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