Bavlnka, Rose
Bavlnka, Rose is an sole proprietor health care provider with primary practice located at W202N10223 Lannon Rd , Germantown WI 53022-9545. 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. Bavlnka, Rose can be contacted via phone (262) 366-9088.Contact Information
Primary practice address
W202N10223 Lannon Rd
Germantown WI 53022-9545
Phone: (262) 366-9088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1036-26 | Wisconsin |
Profile Details
| NPI number | 1134457427 |
|---|---|
| LBN Legal business name | Bavlnka, Rose |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2009 |
| Last updated | Nov 24th, 2009 - about 16 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 | 1134457427 | NPPES |
| Wisconsin | MEDICAID | 40523200 |
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