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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528006863 NPPES
Wisconsin MEDICAID 43241100

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