Weigel, Mindy Shafer

Weigel, Mindy Shafer is an individual health care provider with primary practice located at 560 Pathway Clinic , Prairie Du Sac WI 53583. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Weigel, Mindy Shafer can be contacted via phone (608) 643-3663.

Contact Information

Primary practice address
560 Pathway Clinic Prairie Du Sac WI 53583
Phone: (608) 643-3663
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 4170 Wisconsin

Profile Details

NPI number 1578519336
LBN Legal business name Weigel, Mindy Shafer
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578519336 NPPES
Wisconsin MEDICAID 39795400

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