Sullivan, Catherine Louise

Sullivan, Catherine Louise is an individual health care provider with primary practice located at 1414 Jefferson St , Baraboo WI 53913-1503. 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. Sullivan, Catherine Louise can be contacted via phone (608) 356-4838.

Contact Information

Primary practice address
1414 Jefferson St Baraboo WI 53913-1503
Phone: (608) 356-4838
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10338-024 Wisconsin

Profile Details

NPI number 1811059975
LBN Legal business name Sullivan, Catherine Louise
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 19 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 1811059975 NPPES
Wisconsin MEDICAID 36122300

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