Wagner, Rhonda Sue
Wagner, Rhonda Sue is an individual health care provider with primary practice located at N27W5707 Lincoln Blvd , Cedarburg WI 53012. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wagner, Rhonda Sue can be contacted via phone (262) 376-7676.Contact Information
Primary practice address
N27W5707 Lincoln Blvd
Cedarburg WI 53012
Phone: (262) 376-7676
Fax: (262) 376-5808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2655-026 | Wisconsin |
Profile Details
| NPI number | 1902018005 |
|---|---|
| LBN Legal business name | Wagner, Rhonda Sue |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Aug 16th, 2018 - about 8 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 | 1902018005 | NPPES |
| Wisconsin | MEDICAID | 40823800 |
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