Wendtland, Colleen

Wendtland, Colleen is an individual health care provider with primary practice located at 1468 Pepper Ln , Banning CA 92220-1469. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist is her primary health care specialty. Wendtland, Colleen can be contacted via phone (909) 553-0646.

Contact Information

Primary practice address
1468 Pepper Ln Banning CA 92220-1469
Phone: (909) 553-0646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter 224900000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X

Profile Details

NPI number 1801244389
LBN Legal business name Wendtland, Colleen
Credentials CPED, CFOM
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2016
Last updated May 25th, 2016 - about 9 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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