Matsko, Kimberly Ann
Matsko, Kimberly Ann is an individual health care provider with primary practice located at 813 Silver Sage Trl , Middleton WI 53562-5684. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Matsko, Kimberly Ann can be contacted via phone (608) 469-3794.Contact Information
Primary practice address
813 Silver Sage Trl
Middleton WI 53562-5684
Phone: (608) 469-3794
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1902-19 | Wisconsin |
| Other Service Providers / Specialist | 174400000X | 160.005474 | Illinois |
Profile Details
| NPI number | 1578688081 |
|---|---|
| LBN Legal business name | Matsko, Kimberly Ann |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Sep 13th, 2012 - about 14 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 | 1578688081 | NPPES |
| Illinois | Other | 160.005474 | STATE LICENSE |
| Illinois | Other | TEI000058 | STATE LICENSE |
| Illinois | Other | 1902-19 | STATE LICENSE |
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