Tolat, Holley Willenberg
Tolat, Holley Willenberg is an individual health care provider with primary practice located at W231N1440 Corporate Ct , Waukesha WI 53186-1303. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Tolat, Holley Willenberg can be contacted via phone (262) 896-6000.Contact Information
Primary practice address
W231N1440 Corporate Ct
Waukesha WI 53186-1303
Phone: (262) 896-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 909 | Wisconsin |
Profile Details
NPI number | 1528006863 |
---|---|
LBN Legal business name | Tolat, Holley Willenberg |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2006 |
Last updated | Oct 26th, 2011 - about 13 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 | 1528006863 | NPPES |
Wisconsin | MEDICAID | 43241100 |
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