Hettwer, Wanda Denise

Hettwer, Wanda Denise is an individual health care provider with primary practice located at 330 3Rd Ave E , West Fargo ND 58078-1800. 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. Hettwer, Wanda Denise can be contacted via phone (701) 356-2020.

Contact Information

Primary practice address
330 3Rd Ave E West Fargo ND 58078-1800
Phone: (701) 356-2020
Fax: (701) 356-2029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 149 North Dakota

Profile Details

NPI number 1558535963
LBN Legal business name Hettwer, Wanda Denise
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Apr 16th, 2008 - about 17 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 1558535963 NPPES
North Dakota MEDICAID 51368

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