Dodge, Carolyn Beth

Dodge, Carolyn Beth is an sole proprietor health care provider with primary practice located at N27W5707 Lincoln Blvd , Cedarburg WI 53012-2852. 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. Dodge, Carolyn Beth can be contacted via phone (262) 376-7676.

Contact Information

Primary practice address
N27W5707 Lincoln Blvd Cedarburg WI 53012-2852
Phone: (262) 376-7676
Fax: (262) 376-5208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3714-026 Wisconsin

Profile Details

NPI number 1801037981
LBN Legal business name Dodge, Carolyn Beth
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2009
Last updated Mar 18th, 2009 - about 15 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 1801037981 NPPES
Wisconsin MEDICAID APPLICATIO PENDING

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