Weiland, Holly J
Weiland, Holly J is an individual health care provider with primary practice located at 210 Wisconsin American Dr , Fond Du Lac WI 54937-2999. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Weiland, Holly J can be contacted via phone (920) 907-7270.Contact Information
Primary practice address
210 Wisconsin American Dr
Fond Du Lac WI 54937-2999
Phone: (920) 907-7270
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 13512-24 | Wisconsin |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 13512 | Wisconsin |
Profile Details
NPI number | 1255855045 |
---|---|
LBN Legal business name | Weiland, Holly J |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2017 |
Last updated | Dec 19th, 2019 - about 5 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 | 1255855045 | NPPES |
Wisconsin | MEDICAID | 10070734 |
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