Vandermarliere, Jean Marie
Vandermarliere, Jean Marie is an sole proprietor health care provider with primary practice located at 1629 E Division St , River Falls WI 54022-1571. 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. Vandermarliere, Jean Marie can be contacted via phone (715) 426-4537.Contact Information
Primary practice address
1629 E Division St
River Falls WI 54022-1571
Phone: (715) 426-4537
Fax: (715) 426-4602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 402-019 | Wisconsin |
Profile Details
| NPI number | 1982761987 |
|---|---|
| LBN Legal business name | Vandermarliere, Jean Marie |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982761987 | NPPES |
| Wisconsin | MEDICAID | 36106100 |
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