Warden, Melissa

Warden, Melissa is an individual health care provider with primary practice located at 855 S Main St , Oconto Falls WI 54154-1241. 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. Warden, Melissa can be contacted via phone (920) 846-3444.

Contact Information

Primary practice address
855 S Main St Oconto Falls WI 54154-1241
Phone: (920) 846-3444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 106-019 Wisconsin

Profile Details

NPI number 1154595874
LBN Legal business name Warden, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated Apr 14th, 2008 - about 17 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 1154595874 NPPES
Wisconsin MEDICAID 11014110
Wisconsin Other 390848401050
Wisconsin MEDICAID 11014100

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