Pruyne, Ann Louise
Pruyne, Ann Louise is an sole proprietor health care provider with primary practice located at 828 E Azalea Ter , Beloit WI 53511-1606. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Pruyne, Ann Louise can be contacted via phone (608) 290-4584.Contact Information
Primary practice address
828 E Azalea Ter
Beloit WI 53511-1606
Phone: (608) 290-4584
Fax: (608) 362-6065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 056-000372 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2095-026 | Wisconsin |
Profile Details
| NPI number | 1346240405 |
|---|---|
| LBN Legal business name | Pruyne, Ann Louise |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Apr 1st, 2013 - about 13 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 | 1346240405 | NPPES |
| Wisconsin | MEDICAID | 40904200 | |
| Wisconsin | Other | P01085357 |
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