Weirick, Annette Marie

Weirick, Annette Marie is an individual health care provider with primary practice located at 1504 Madison Avenue , Fort Atkinson WI 53538-1996. 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. Weirick, Annette Marie can be contacted via phone (920) 563-9357.

Contact Information

Primary practice address
1504 Madison Avenue Fort Atkinson WI 53538-1996
Phone: (920) 563-9357
Fax: (920) 568-6545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 895-019 Wisconsin

Profile Details

NPI number 1033139233
LBN Legal business name Weirick, Annette Marie
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Mar 21st, 2017 - about 8 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 1033139233 NPPES
Wisconsin MEDICAID 36107200

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