Martin, Heather Michelle

Martin, Heather Michelle is an individual health care provider with primary practice located at 10500 W Loomis Rd Suite 150, Franklin WI 53132-8111. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Martin, Heather Michelle can be contacted via phone (414) 858-9223.

Contact Information

Primary practice address
10500 W Loomis Rd Suite 150 Franklin WI 53132-8111
Phone: (414) 858-9223
Fax: (414) 858-1017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4395026 Wisconsin

Profile Details

NPI number 1992861868
LBN Legal business name Martin, Heather Michelle
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Nov 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992861868 NPPES
Wisconsin Other 4395-026 LICENSE
Wisconsin MEDICAID 41055800 LICENSE

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