Andrews, Eliza Maria Teresa
Andrews, Eliza Maria Teresa is an individual health care provider with primary practice located at 3852 Creamery Rd , De Pere WI 54115-9210. 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. Andrews, Eliza Maria Teresa can be contacted via phone (920) 338-9670.Contact Information
Primary practice address
3852 Creamery Rd
De Pere WI 54115-9210
Phone: (920) 338-9670
Fax: (920) 338-9680
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4767-024 | Wisconsin |
Profile Details
NPI number | 1700831310 |
---|---|
LBN Legal business name | Andrews, Eliza Maria Teresa |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2006 |
Last updated | Dec 7th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700831310 | NPPES |
Other | 7266513 | AETNA PROVIDER PW | |
MEDICAID | 40241300 | AETNA PROVIDER PW | |
Other | 11452706 | AETNA PROVIDER PW |
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