Vaughn, Anna C

Vaughn, Anna C is an individual health care provider with primary practice located at 1507 W Knapp St Unit 1 , Rice Lake WI 54868-1384. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Vaughn, Anna C can be contacted via phone (715) 855-0408.

Contact Information

Primary practice address
1507 W Knapp St Unit 1 Rice Lake WI 54868-1384
Phone: (715) 855-0408
Fax: (715) 855-0409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4574 Oregon

Profile Details

NPI number 1962621318
LBN Legal business name Vaughn, Anna C
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Sep 25th, 2023 - about last year

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 1962621318 NPPES
Oregon Other P01322042 RR
Oregon MEDICAID 500622884 RR

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