Prusak, Jeanne Marie
Prusak, Jeanne Marie is an sole proprietor health care provider with primary practice located at 1280 Chandler Drive , Spooner WI 54801-1201. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Prusak, Jeanne Marie can be contacted via phone (715) 635-2111.Contact Information
Primary practice address
1280 Chandler Drive
Spooner WI 54801-1201
Phone: (715) 635-2111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 3180-026 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 3180-026 | Wisconsin |
Profile Details
| NPI number | 1487843397 |
|---|---|
| LBN Legal business name | Prusak, Jeanne Marie |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2007 |
| Last updated | Feb 9th, 2017 - about 8 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 | 1487843397 | NPPES |
| Wisconsin | MEDICAID | 40818000 |
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