Kulibert, Melissa

Kulibert, Melissa is an individual health care provider with primary practice located at 115 E Arndt St , Fond Du Lac WI 54935-2461. 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. Kulibert, Melissa can be contacted via phone (920) 923-7054.

Contact Information

Primary practice address
115 E Arndt St Fond Du Lac WI 54935-2461
Phone: (920) 923-7054
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 1423-027 Wisconsin

Profile Details

NPI number 1770796898
LBN Legal business name Kulibert, Melissa
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 17 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 1770796898 NPPES
Wisconsin MEDICAID 41038700

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