Kaczmarek, Mary Jane

Kaczmarek, Mary Jane is an individual health care provider with primary practice located at N84W17049 Menomonee Ave , Menomonee Falls WI 53051-2701. 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, Mary Jane can be contacted via phone (262) 255-7050.

Contact Information

Primary practice address
N84W17049 Menomonee Ave Menomonee Falls WI 53051-2701
Phone: (262) 255-7050
Fax: (262) 255-7834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2881-026 Wisconsin

Profile Details

NPI number 1073726147
LBN Legal business name Kaczmarek, Mary Jane
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 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 1073726147 NPPES
Wisconsin MEDICAID 40872500

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