Weigel, Mindy Shafer
Weigel, Mindy Shafer is an individual health care provider with primary practice located at 560 Pathway Clinic , Prairie Du Sac WI 53583. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Weigel, Mindy Shafer can be contacted via phone (608) 643-3663.Contact Information
Primary practice address
560 Pathway Clinic
Prairie Du Sac WI 53583
Phone: (608) 643-3663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist | 225800000X | 4170 | Wisconsin |
Profile Details
| NPI number | 1578519336 |
|---|---|
| LBN Legal business name | Weigel, Mindy Shafer |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 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 | 1578519336 | NPPES |
| Wisconsin | MEDICAID | 39795400 |
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