Gruber-Downing, Jill Marie

Gruber-Downing, Jill Marie is an individual health care provider with primary practice located at 2705 Enloe St , Hudson WI 54016-8173. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gruber-Downing, Jill Marie can be contacted via phone (715) 386-2128.

Contact Information

Primary practice address
2705 Enloe St Hudson WI 54016-8173
Phone: (715) 386-2128
Fax: (715) 386-6119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6061 Wisconsin

Profile Details

NPI number 1972603405
LBN Legal business name Gruber-Downing, Jill Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Jul 9th, 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 1972603405 NPPES
Wisconsin MEDICAID 40357600
Wisconsin Other 6401942
Wisconsin Other 98G57GR
Wisconsin Other 7866381
Wisconsin Other 15665
Wisconsin Other 641671046996

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