Weber, Jody
Weber, Jody is an individual health care provider with primary practice located at 705 S University Avenue Ste 150, Beaver Dam WI 53916. 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. Weber, Jody can be contacted via phone (920) 885-2663.Contact Information
Primary practice address
705 S University Avenue Ste 150
Beaver Dam WI 53916
Phone: (920) 885-2663
Fax: (920) 885-2466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4447 | Wisconsin |
Profile Details
| NPI number | 1124119375 |
|---|---|
| LBN Legal business name | Weber, Jody |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Apr 3rd, 2013 - about 13 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 | 1124119375 | NPPES |
| Wisconsin | MEDICAID | 40205900 |
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