Prosen, Barbara Ann

Prosen, Barbara Ann is an sole proprietor health care provider with primary practice located at W237S7855 Westwood Dr , Big Bend WI 53103-9407. 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. Prosen, Barbara Ann can be contacted via phone (262) 662-2105.

Contact Information

Primary practice address
W237S7855 Westwood Dr Big Bend WI 53103-9407
Phone: (262) 662-2105
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 872019 Wisconsin

Profile Details

NPI number 1861654113
LBN Legal business name Prosen, Barbara Ann
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2008
Last updated Jun 27th, 2008 - about 18 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 1861654113 NPPES
Wisconsin MEDICAID 40072500

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