Temple, Patricia Ann

Temple, Patricia Ann is an sole proprietor health care provider with primary practice located at 5595 County Road Z , West Bend WI 53095-9224. 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. Temple, Patricia Ann can be contacted via phone (262) 306-2100.

Contact Information

Primary practice address
5595 County Road Z West Bend WI 53095-9224
Phone: (262) 306-2100
Fax: (262) 306-2128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 77-019 Wisconsin

Profile Details

NPI number 1104996230
LBN Legal business name Temple, Patricia Ann
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 9th, 2007 - about 18 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 1104996230 NPPES
Wisconsin MEDICAID 40351100

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