Pruyne, Ann Louise

Pruyne, Ann Louise is an sole proprietor health care provider with primary practice located at 828 E Azalea Ter , Beloit WI 53511-1606. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Pruyne, Ann Louise can be contacted via phone (608) 290-4584.

Contact Information

Primary practice address
828 E Azalea Ter Beloit WI 53511-1606
Phone: (608) 290-4584
Fax: (608) 362-6065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 056-000372 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2095-026 Wisconsin

Profile Details

NPI number 1346240405
LBN Legal business name Pruyne, Ann Louise
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Apr 1st, 2013 - about 12 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 1346240405 NPPES
Wisconsin MEDICAID 40904200
Wisconsin Other P01085357

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