Dyer, Katherine M

Dyer, Katherine M is an sole proprietor health care provider with primary practice located at 2020 W Wells St , Milwaukee WI 53233-2720. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Dyer, Katherine M can be contacted via phone (414) 937-2049.

Contact Information

Primary practice address
2020 W Wells St Milwaukee WI 53233-2720
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2310-026 Wisconsin

Profile Details

NPI number 1912164815
LBN Legal business name Dyer, Katherine M
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2008
Last updated May 19th, 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 1912164815 NPPES
Wisconsin MEDICAID 40817700

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