Churchill, Christine Marie

Churchill, Christine Marie is an individual health care provider with primary practice located at 2730 W Ramsey Ave , Milwaukee WI 53221-4814. 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. Churchill, Christine Marie can be contacted via phone (414) 282-2600.

Contact Information

Primary practice address
2730 W Ramsey Ave Milwaukee WI 53221-4814
Phone: (414) 282-2600
Fax: (414) 282-2051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 557-019 Wisconsin

Profile Details

NPI number 1013120872
LBN Legal business name Churchill, Christine Marie
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 8th, 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 1013120872 NPPES
Wisconsin MEDICAID 36126900

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