Herschleb, Raymond George

Herschleb, Raymond George is an sole proprietor health care provider with primary practice located at 1555 S Layton Blvd Suite 224, Milwaukee WI 53215-1924. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Herschleb, Raymond George can be contacted via phone (414) 902-2430.

Contact Information

Primary practice address
1555 S Layton Blvd Suite 224 Milwaukee WI 53215-1924
Phone: (414) 902-2430
Fax: (414) 944-0002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6020 Wisconsin

Profile Details

NPI number 1790767325
LBN Legal business name Herschleb, Raymond George
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Aug 30th, 2012 - about 12 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 1790767325 NPPES
Wisconsin MEDICAID 40306800

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