Podewils, Lisa A

Podewils, Lisa A is an individual health care provider with primary practice located at N87W17309 Main St , Menomonee Falls WI 53051-2760. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Podewils, Lisa A can be contacted via phone (262) 257-4740.

Contact Information

Primary practice address
N87W17309 Main St Menomonee Falls WI 53051-2760
Phone: (262) 257-4740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 131-019 Wisconsin

Profile Details

NPI number 1386810695
LBN Legal business name Podewils, Lisa A
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 1386810695 NPPES
Wisconsin MEDICAID 40356600

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