Marquardt, Susan Marie
Marquardt, Susan Marie is an individual health care provider with primary practice located at 1650 S 41St St , Manitowoc WI 54220-7316. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics is her primary health care specialty. Marquardt, Susan Marie can be contacted via phone (920) 320-3100.Contact Information
Primary practice address
1650 S 41St St
Manitowoc WI 54220-7316
Phone: (920) 320-3100
Fax: (920) 684-3194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics | 225XE1200X | 1689-026 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 1689-026 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation | 225XN1300X | 1689-026 | Wisconsin |
Profile Details
| NPI number | 1386754927 |
|---|---|
| LBN Legal business name | Marquardt, Susan Marie |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1386754927 | NPPES |
| Wisconsin | MEDICAID | 40816100 |
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