Neu, Mark J
Neu, Mark J is an individual health care provider with primary practice located at 5024 Green Bay Rd , Kenosha WI 53144-1702. 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. Neu, Mark J can be contacted via phone (262) 925-0200.Contact Information
Primary practice address
5024 Green Bay Rd
Kenosha WI 53144-1702
Phone: (262) 925-0200
Fax: (262) 925-8846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4727-024 | Wisconsin |
Profile Details
| NPI number | 1689696015 |
|---|---|
| LBN Legal business name | Neu, Mark J |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 9th, 2021 - about 4 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 | 1689696015 | NPPES |
| Wisconsin | MEDICAID | 40290600 |
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