Gundeck, Susan B

Gundeck, Susan B is an sole proprietor health care provider with primary practice located at 600 Highland Ave Compliance Mail Code 2433, Madison WI 53792-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Gundeck, Susan B can be contacted via phone (608) 662-0817.

Contact Information

Primary practice address
600 Highland Ave Compliance Mail Code 2433 Madison WI 53792-0001
Phone: (608) 662-0817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 1996-027 Wisconsin

Profile Details

NPI number 1750577367
LBN Legal business name Gundeck, Susan B
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2007
Last updated Sep 18th, 2007 - about 19 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 1750577367 NPPES
Wisconsin Other 1996-027 OCCUPATIONAL THERAPIST

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