Whitcomb, Tasha R
Whitcomb, Tasha R is an sole proprietor health care provider with primary practice located at 4605 Valdres Springs Ct , Weston WI 54476-4189. 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. Whitcomb, Tasha R can be contacted via phone (715) 393-0419.Contact Information
Primary practice address
4605 Valdres Springs Ct
Weston WI 54476-4189
Phone: (715) 393-0419
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1351-019 | Wisconsin |
Profile Details
| NPI number | 1184837189 |
|---|---|
| LBN Legal business name | Whitcomb, Tasha R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Oct 10th, 2012 - about 13 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 | 1184837189 | NPPES |
| Wisconsin | MEDICAID | 36122600 |
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