Redwine, Dawn Marie

Redwine, Dawn Marie is an individual health care provider with primary practice located at 1650 S 41St St , Manitowoc WI 54220-7316. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Redwine, Dawn Marie can be contacted via phone (920) 320-4100.

Contact Information

Primary practice address
1650 S 41St St Manitowoc WI 54220-7316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 6138-024 Wisconsin

Profile Details

NPI number 1629173802
LBN Legal business name Redwine, Dawn Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - 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 1629173802 NPPES
Wisconsin MEDICAID 41220000

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