Gravunder, Arianne
Gravunder, Arianne is an individual health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gravunder, Arianne can be contacted via phone (608) 417-8250.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 10738-24 | Wisconsin |
Profile Details
| NPI number | 1225166143 |
|---|---|
| LBN Legal business name | Gravunder, Arianne |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Aug 23rd, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225166143 | NPPES |
| Wisconsin | MEDICAID | 36127800 |
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