Smith, Kaitlyn J

Smith, Kaitlyn J is an sole proprietor health care provider with primary practice located at 402 Eureka St , Ripon WI 54971. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Smith, Kaitlyn J can be contacted via phone (920) 896-0430.

Contact Information

Primary practice address
402 Eureka St Ripon WI 54971
Phone: (920) 896-0430
Fax: (920) 896-0491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1659850113
LBN Legal business name Smith, Kaitlyn J
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2018
Last updated Aug 30th, 2018 - about 8 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 1659850113 NPPES
Wisconsin Other 39-1930290 GROUP TAX ID
Wisconsin Other 1407857790 GROUP TAX ID

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