Kaczmarek, Dianna
Kaczmarek, Dianna is an individual health care provider with primary practice located at 9244 29Th Ave , Kenosha WI 53143-6602. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kaczmarek, Dianna can be contacted via phone (262) 694-0080.Contact Information
Primary practice address
9244 29Th Ave
Kenosha WI 53143-6602
Phone: (262) 694-0080
Fax: (262) 942-7395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2689-026 | Wisconsin |
Profile Details
| NPI number | 1609040476 |
|---|---|
| LBN Legal business name | Kaczmarek, Dianna |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2008 |
| Last updated | Apr 14th, 2008 - about 16 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 | 1609040476 | NPPES |
| Wisconsin | MEDICAID | 41811700 |
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