Puchalla, Angela Yvonne

Puchalla, Angela Yvonne is an individual health care provider with primary practice located at 1630 Commanche Ave , Green Bay WI 54313-5753. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Puchalla, Angela Yvonne can be contacted via phone (920) 655-3005.

Contact Information

Primary practice address
1630 Commanche Ave Green Bay WI 54313-5753
Phone: (920) 655-3005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 549-039 Wisconsin

Profile Details

NPI number 1114917580
LBN Legal business name Puchalla, Angela Yvonne
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 8th, 2007 - 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.

Request for update

Popular Providers