Bellendorf, Nancy Ann

Bellendorf, Nancy Ann is an individual health care provider with primary practice located at 103 S Gibson St , Medford WI 54451. 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. Bellendorf, Nancy Ann can be contacted via phone (715) 748-8112.

Contact Information

Primary practice address
103 S Gibson St Medford WI 54451
Phone: (715) 748-8112
Fax: (715) 748-8792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 592-026 Wisconsin

Profile Details

NPI number 1700979309
LBN Legal business name Bellendorf, Nancy Ann
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 10th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700979309 NPPES
Wisconsin MEDICAID 40624400

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