Neustifter, Robert Paul

Neustifter, Robert Paul is an individual health care provider with primary practice located at 215 N Webster Ave , Green Bay WI 54301-4813. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Neustifter, Robert Paul can be contacted via phone (920) 431-5588.

Contact Information

Primary practice address
215 N Webster Ave Green Bay WI 54301-4813
Phone: (920) 431-5588
Fax: (920) 445-7090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1162-019 Wisconsin

Profile Details

NPI number 1255507604
LBN Legal business name Neustifter, Robert Paul
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated May 6th, 2008 - 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 1255507604 NPPES
Wisconsin MEDICAID 36106900

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