Van De Water, David N

Van De Water, David N is an individual health care provider with primary practice located at 6222 Washington Ave , Mount Pleasant WI 53406-3948. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Van De Water, David N can be contacted via phone (262) 884-6418.

Contact Information

Primary practice address
6222 Washington Ave Mount Pleasant WI 53406-3948
Phone: (262) 884-6418
Fax: (262) 884-6489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11232-024 Wisconsin

Profile Details

NPI number 1811222938
LBN Legal business name Van De Water, David N
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2009
Last updated Nov 21st, 2021 - about 4 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 1811222938 NPPES
Wisconsin Other 11232-024 PHYSICAL THERAPY LICENSE NUMBER

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