Nyquist, Laura Lee

Nyquist, Laura Lee is an sole proprietor health care provider with primary practice located at 611 Sherman Ave E , Fort Atkinson WI 53538-1960. 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. Nyquist, Laura Lee can be contacted via phone (920) 568-5411.

Contact Information

Primary practice address
611 Sherman Ave E Fort Atkinson WI 53538-1960
Phone: (920) 568-5411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2800-026 Wisconsin

Profile Details

NPI number 1184638926
LBN Legal business name Nyquist, Laura Lee
Credentials MS, OTR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated May 30th, 2019 - about 7 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 1184638926 NPPES
Wisconsin MEDICAID 41031300

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