Van Der Perren, Gretchen

Van Der Perren, Gretchen is an individual health care provider with primary practice located at 2500 Hall Ave Ste B , Marinette WI 54143-1604. 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. Van Der Perren, Gretchen can be contacted via phone (715) 732-7700.

Contact Information

Primary practice address
2500 Hall Ave Ste B Marinette WI 54143-1604
Phone: (715) 732-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9795-24 Wisconsin

Profile Details

NPI number 1801908124
LBN Legal business name Van Der Perren, Gretchen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 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 1801908124 NPPES
Wisconsin Other 511802080008 BLUE CROSS

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