Klingaman, Brenda Lee

Klingaman, Brenda Lee is an individual health care provider with primary practice located at W758 Norway Dr , Fall River WI 53932-8919. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / SNF/Subacute Care, which is considered as her primary health care specialty. Klingaman, Brenda Lee can be contacted via phone (920) 484-3363.

Contact Information

Primary practice address
W758 Norway Dr Fall River WI 53932-8919
Phone: (920) 484-3363
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / SNF/Subacute Care 2278S1500X 240019 Wisconsin

Profile Details

NPI number 1144425976
LBN Legal business name Klingaman, Brenda Lee
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Jun 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144425976 NPPES
Wisconsin MEDICAID 40029100

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