Vanaacken, Teresa M

Vanaacken, Teresa M is an individual health care provider with primary practice located at 300 S Koeller Street Suite B, Oshkosh WI 54902. 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. Vanaacken, Teresa M can be contacted via phone (920) 231-5195.

Contact Information

Primary practice address
300 S Koeller Street Suite B Oshkosh WI 54902
Phone: (920) 231-5195
Fax: (920) 231-5196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6434024 Wisconsin

Profile Details

NPI number 1558329821
LBN Legal business name Vanaacken, Teresa M
Credentials PT DPT OCS CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 1st, 2008 - about 18 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 1558329821 NPPES
Wisconsin MEDICAID 40361100

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