Kirchberg, Mary
Kirchberg, Mary is an individual health care provider with primary practice located at 4200 Savannah Dr , De Forest WI 53532-2909. 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. Kirchberg, Mary can be contacted via phone (608) 417-3370.Contact Information
Primary practice address
4200 Savannah Dr
De Forest WI 53532-2909
Phone: (608) 417-3370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 3927-026 | Wisconsin |
Profile Details
| NPI number | 1871653485 |
|---|---|
| LBN Legal business name | Kirchberg, Mary |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jan 15th, 2015 - about 10 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 | 1871653485 | NPPES |
| Wisconsin | MEDICAID | 187653485 |
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