Granger, Erin Kathleen

Granger, Erin Kathleen is an individual health care provider with primary practice located at 600 York St , Manitowoc WI 54220-6845. 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. Granger, Erin Kathleen can be contacted via phone (920) 320-6750.

Contact Information

Primary practice address
600 York St Manitowoc WI 54220-6845
Phone: (920) 320-6750
Fax: (920) 682-1981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2214-026 Wisconsin

Profile Details

NPI number 1518997998
LBN Legal business name Granger, Erin Kathleen
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1518997998 NPPES
Wisconsin MEDICAID 40816200
Wisconsin Other 719065

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