Corcoran, Vicki D
Corcoran, Vicki D is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935. 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. Corcoran, Vicki D can be contacted via phone (920) 923-7940.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 826-019 | Wisconsin |
Profile Details
| NPI number | 1962445163 |
|---|---|
| LBN Legal business name | Corcoran, Vicki D |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Aug 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962445163 | NPPES |
| Wisconsin | MEDICAID | 40341000 |
Popular Providers
-
Baldwin, Janelle B
1366 Candlelight Ln , Fond Du Lac WI 54937-7537 -
Schatzke, Amy Lynn
845 South Main Street Suite 120, Fond Du Lac WI 54935 -
Schmitz, Rebecca A
430 E Division St , Fond Du Lac WI 54935-4560 -
Bilitz, Carolanne Marjorie
845 South Main Street Suite 120, Fond Du Lac WI 54935 -
Monte, Daniel
517 E Division St , Fond Du Lac WI 54935-3735 -
Loomans, Kim
845 South Main Street Suite 120, Fond Du Lac WI 54935 -
Sheehy, Matthew D
421 Camelot Dr , Fond Du Lac WI 54935-8335 -
Meyers, Barbara A.
845 South Main Street Suite 120, Fond Du Lac WI 54935