Eiden, Amy
Eiden, Amy is an individual health care provider with primary practice located at 10330 Prairie Ridge Blvd , Pleasant Prairie WI 53158-1947. 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. Eiden, Amy can be contacted via phone (262) 612-2855.Contact Information
Primary practice address
10330 Prairie Ridge Blvd
Pleasant Prairie WI 53158-1947
Phone: (262) 612-2855
Fax: (262) 612-2893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2574-026 | Wisconsin |
Profile Details
| NPI number | 1104092253 |
|---|---|
| LBN Legal business name | Eiden, Amy |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2008 |
| Last updated | May 7th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104092253 | NPPES |
| Wisconsin | MEDICAID | 40829700 |
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