Carriveau, Peter D

Carriveau, Peter D is an individual health care provider with primary practice located at 3117 Shore Drive Suite 101, Marinette WI 54143. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Carriveau, Peter D can be contacted via phone (715) 732-5111.

Contact Information

Primary practice address
3117 Shore Drive Suite 101 Marinette WI 54143
Phone: (715) 732-5111
Fax: (715) 732-0628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 92519 Wisconsin

Profile Details

NPI number 1124100045
LBN Legal business name Carriveau, Peter D
Credentials PHYSICAL THERAPY AST
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1124100045 NPPES
Wisconsin MEDICAID 40391700

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