Stewart, Jim

Stewart, Jim is an individual health care provider with primary practice located at 215 Washington St , Grafton WI 53024-1700. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stewart, Jim can be contacted via phone (262) 375-3700.

Contact Information

Primary practice address
215 Washington St Grafton WI 53024-1700
Phone: (262) 375-3700
Fax: (262) 375-6306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9653-024 Wisconsin

Profile Details

NPI number 1912907254
LBN Legal business name Stewart, Jim
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Dec 29th, 2010 - about 16 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 1912907254 NPPES
Wisconsin MEDICAID 40445700
Wisconsin Other P00452811

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