Wenk, Mary Beth

Wenk, Mary Beth is an individual health care provider with primary practice located at City View Nursing Home 3030 City View Drive, Madison WI 53718. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Wenk, Mary Beth can be contacted via phone (608) 242-5020.

Contact Information

Primary practice address
City View Nursing Home 3030 City View Drive Madison WI 53718
Phone: (608) 242-5020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 1629-027 Wisconsin

Profile Details

NPI number 1528275682
LBN Legal business name Wenk, Mary Beth
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 9th, 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 1528275682 NPPES
Wisconsin MEDICAID 41047000

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