Klocek, Nancy L

Klocek, Nancy L is an sole proprietor health care provider with primary practice located at 110 Belmont Rd , Madison WI 53714-3129. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Klocek, Nancy L can be contacted via phone (608) 249-7391.

Contact Information

Primary practice address
110 Belmont Rd Madison WI 53714-3129
Fax:
Website:

Health care specialties

Profile Details

NPI number 1770704231
LBN Legal business name Klocek, Nancy L
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 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 1770704231 NPPES
Wisconsin Other 197-027 STATE LICENSE
Wisconsin MEDICAID 41035400 STATE LICENSE

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