Dufour, Amanda L

Dufour, Amanda L is an individual health care provider with primary practice located at 1001 Service Rd , Kiel WI 53042. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Dufour, Amanda L can be contacted via phone (920) 894-2636.

Contact Information

Primary practice address
1001 Service Rd Kiel WI 53042
Fax: (920) 894-1005
Website:

Profile Details

NPI number 1457696346
LBN Legal business name Dufour, Amanda L
Credentials MOTR
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2012
Last updated Sep 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457696346 NPPES
Wisconsin MEDICAID 100027458

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