Wieland, Mallory
Wieland, Mallory is an individual health care provider with primary practice located at 507 S Monroe St , Lancaster WI 53813-2054. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Wieland, Mallory can be contacted via phone (608) 723-2143.Contact Information
Primary practice address
507 S Monroe St
Lancaster WI 53813-2054
Phone: (608) 723-2143
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 3065-19 | Wisconsin |
Profile Details
| NPI number | 1366032609 |
|---|---|
| LBN Legal business name | Wieland, Mallory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2021 |
| Last updated | Jul 18th, 2023 - about 3 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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