Mackman, Debra E

Mackman, Debra E is an individual health care provider with primary practice located at 2626 N Wauwatosa Ave , Wauwatosa WI 53213-1137. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mackman, Debra E can be contacted via phone (414) 774-7794.

Contact Information

Primary practice address
2626 N Wauwatosa Ave Wauwatosa WI 53213-1137
Phone: (414) 774-7794
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4646-024 Wisconsin

Profile Details

NPI number 1568569432
LBN Legal business name Mackman, Debra E
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
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 1568569432 NPPES
Wisconsin MEDICAID 40385400

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