Neisner, Edward R

Neisner, Edward R is an individual health care provider with primary practice located at N112W17975 Mequon Rd , Germantown WI 53022-2425. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Neisner, Edward R can be contacted via phone (262) 532-7600.

Contact Information

Primary practice address
N112W17975 Mequon Rd Germantown WI 53022-2425
Phone: (262) 532-7600
Fax: (262) 532-7602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9560-024 Wisconsin

Profile Details

NPI number 1518980036
LBN Legal business name Neisner, Edward R
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Nov 16th, 2009 - about 17 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 1518980036 NPPES
Wisconsin MEDICAID 40440600

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