Ettmayer, Anthony Jack

Ettmayer, Anthony Jack is an individual health care provider with primary practice located at 1119 N Wisconsin St , Port Washington WI 53074-1209. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ettmayer, Anthony Jack can be contacted via phone (262) 284-5892.

Contact Information

Primary practice address
1119 N Wisconsin St Port Washington WI 53074-1209
Phone: (262) 284-5892
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11821-024 Wisconsin

Profile Details

NPI number 1457649352
LBN Legal business name Ettmayer, Anthony Jack
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2011
Last updated Jul 13th, 2011 - about 13 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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