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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114193885 NPPES
Wisconsin MEDICAID 40044400

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