Marose, Melissa Ann
Marose, Melissa Ann is an individual health care provider with primary practice located at 7517 W Coldspring Rd , Greenfield WI 53220-2814. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Marose, Melissa Ann can be contacted via phone (414) 327-6603.Contact Information
Primary practice address
7517 W Coldspring Rd
Greenfield WI 53220-2814
Phone: (414) 327-6603
Fax: (414) 327-5411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1415-019 | Wisconsin |
Profile Details
| NPI number | 1700075694 |
|---|---|
| LBN Legal business name | Marose, Melissa Ann |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Mar 6th, 2012 - about 13 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 | 1700075694 | NPPES |
| Wisconsin | MEDICAID | 36146200 |
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