Lindberg, Kellie Jo
Lindberg, Kellie Jo is an sole proprietor health care provider with primary practice located at 2727 N Grandview Blvd Suite 113, Waukesha WI 53188-6100. 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. Lindberg, Kellie Jo can be contacted via phone (414) 254-1565.Contact Information
Primary practice address
2727 N Grandview Blvd Suite 113
Waukesha WI 53188-6100
Phone: (414) 254-1565
Fax: (262) 378-4394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1847-026 | Wisconsin |
Profile Details
| NPI number | 1861594210 |
|---|---|
| LBN Legal business name | Lindberg, Kellie Jo |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jul 23rd, 2013 - about 11 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 | 1861594210 | NPPES |
| Wisconsin | Other | 1760660377 | NPI GROUP |
| Wisconsin | MEDICAID | 40898800 | NPI GROUP |
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