Gottheardt, Andrew E

Gottheardt, Andrew E is an individual health care provider with primary practice located at 15312 W Beloit Rd , New Berlin WI 53151-7447. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Gottheardt, Andrew E can be contacted via phone (262) 641-5117.

Contact Information

Primary practice address
15312 W Beloit Rd New Berlin WI 53151-7447
Phone: (262) 641-5117
Fax: (262) 641-6317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4342-26 Wisconsin

Profile Details

NPI number 1245458918
LBN Legal business name Gottheardt, Andrew E
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Sep 30th, 2016 - about 9 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 1245458918 NPPES
Other 1056173 OTR
Other 4342-26 OTR
MEDICAID 41047700 OTR

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