Decleene, Charles N

Decleene, Charles N is an individual health care provider with primary practice located at 1970 S Ridge Rd , Green Bay WI 54304-4125. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Decleene, Charles N can be contacted via phone (920) 430-4888.

Contact Information

Primary practice address
1970 S Ridge Rd Green Bay WI 54304-4125
Phone: (920) 430-4888
Fax: (920) 430-4889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10376-24 Wisconsin

Profile Details

NPI number 1326002148
LBN Legal business name Decleene, Charles N
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Feb 3rd, 2023 - about last year

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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