Moldenhauer, Nicole Susette
Moldenhauer, Nicole Susette is an individual health care provider with primary practice located at 1800 New York Ave , Superior WI 54880-2008. 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. Moldenhauer, Nicole Susette can be contacted via phone (651) 380-4866.Contact Information
Primary practice address
1800 New York Ave
Superior WI 54880-2008
Phone: (651) 380-4866
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 3163-19 | Wisconsin |
Profile Details
| NPI number | 1700451473 |
|---|---|
| LBN Legal business name | Moldenhauer, Nicole Susette |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2021 |
| Last updated | May 25th, 2021 - about 4 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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