Martin, Peggy Sue

Martin, Peggy Sue is an individual health care provider with primary practice located at 1507 W Knapp St , Rice Lake WI 54868-1383. 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. Martin, Peggy Sue can be contacted via phone (877) 823-0508.

Contact Information

Primary practice address
1507 W Knapp St Rice Lake WI 54868-1383
Phone: (877) 823-0508
Fax: (866) 245-8064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 02104 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Wisconsin

Profile Details

NPI number 1871666727
LBN Legal business name Martin, Peggy Sue
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated May 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871666727 NPPES
Wisconsin MEDICAID 1871666727

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