Vandermeuse, Theodore

Vandermeuse, Theodore is an individual health care provider with primary practice located at 2817 New Pinery Rd , Portage WI 53901-9240. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Vandermeuse, Theodore can be contacted via phone (608) 745-6290.

Contact Information

Primary practice address
2817 New Pinery Rd Portage WI 53901-9240
Phone: (608) 745-6290
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Wisconsin

Profile Details

NPI number 1326456245
LBN Legal business name Vandermeuse, Theodore
Credentials ATC/LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2014
Last updated Jul 23rd, 2014 - about 11 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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