Swanke, Tina Lorene
Swanke, Tina Lorene is an sole proprietor health care provider with primary practice located at 147 N State St , Berlin WI 54923-1621. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Swanke, Tina Lorene can be contacted via phone (920) 361-3515.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 729-026 | Wisconsin |
Profile Details
| NPI number | 1063511061 |
|---|---|
| LBN Legal business name | Swanke, Tina Lorene |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063511061 | NPPES |
| Wisconsin | MEDICAID | 40729700 |
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