Nelson, Terri L
Nelson, Terri L is an individual health care provider with primary practice located at 123 16Th Ave S , Onalaska WI 54650-3109. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, which is considered as her primary health care specialty. Nelson, Terri L can be contacted via phone (608) 775-7987.Contact Information
Primary practice address
123 16Th Ave S
Onalaska WI 54650-3109
Phone: (608) 775-7987
Fax: (608) 775-7911
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health | 225XM0800X | 203-026 | Wisconsin |
Profile Details
NPI number | 1558514893 |
---|---|
LBN Legal business name | Nelson, Terri L |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 30th, 2008 |
Last updated | Oct 30th, 2008 - about 16 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 | 1558514893 | NPPES |
Wisconsin | MEDICAID | 41057400 |
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