Nulty, Susan Dee
Nulty, Susan Dee is an sole proprietor health care provider with primary practice located at 6735 W Bradley Rd , Milwaukee WI 53223-3325. 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. Nulty, Susan Dee can be contacted via phone (414) 354-3300.Contact Information
Primary practice address
6735 W Bradley Rd
Milwaukee WI 53223-3325
Phone: (414) 354-3300
Fax: (414) 354-7419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 595019 | Wisconsin |
Profile Details
| NPI number | 1114193885 |
|---|---|
| LBN Legal business name | Nulty, Susan Dee |
| Credentials | LPTA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2008 |
| Last updated | May 2nd, 2008 - about 17 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 | 1114193885 | NPPES |
| Wisconsin | MEDICAID | 40044400 |
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