Oleniczak, Scott Wade

Oleniczak, Scott Wade is an sole proprietor health care provider with primary practice located at 215 N Webster Ave , Green Bay WI 54301-4813. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Oleniczak, Scott Wade can be contacted via phone (920) 431-5588.

Contact Information

Primary practice address
215 N Webster Ave Green Bay WI 54301-4813
Phone: (920) 431-5588
Fax: (920) 445-7090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3259-026 Wisconsin

Profile Details

NPI number 1740496132
LBN Legal business name Oleniczak, Scott Wade
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Oct 29th, 2019 - about 6 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 1740496132 NPPES
Wisconsin MEDICAID 40814600

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