Mccarthy, Andrea L

Mccarthy, Andrea L is an individual health care provider with primary practice located at 1190 E Paradise Dr , West Bend WI 53095-5444. 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. Mccarthy, Andrea L can be contacted via phone (262) 306-6319.

Contact Information

Primary practice address
1190 E Paradise Dr West Bend WI 53095-5444
Phone: (262) 306-6319
Fax: (262) 306-2964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11465 Wisconsin

Profile Details

NPI number 1912227489
LBN Legal business name Mccarthy, Andrea L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2010
Last updated Jun 8th, 2010 - about 16 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 1912227489 NPPES
Wisconsin Other 11465 WI TEMPORARY LICENSE

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