Dourn, Rebecca Ann

Dourn, Rebecca Ann is an sole proprietor health care provider with primary practice located at 3613 S 13Th St , Sheboygan WI 53081-7253. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Dourn, Rebecca Ann can be contacted via phone (920) 458-4040.

Contact Information

Primary practice address
3613 S 13Th St Sheboygan WI 53081-7253
Fax:
Website:

Health care specialties

Profile Details

NPI number 1689827511
LBN Legal business name Dourn, Rebecca Ann
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2008
Last updated Oct 23rd, 2008 - 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 1689827511 NPPES
Wisconsin MEDICAID 41075400

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