Yaggie, Colleen Ann

Yaggie, Colleen Ann is an individual health care provider with primary practice located at N112W15415 Mequon Rd , Germantown WI 53022-3410. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Yaggie, Colleen Ann can be contacted via phone (262) 257-4730.

Contact Information

Primary practice address
N112W15415 Mequon Rd Germantown WI 53022-3410
Phone: (262) 257-4730
Fax: (262) 257-4737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3216 Wisconsin

Profile Details

NPI number 1295762730
LBN Legal business name Yaggie, Colleen Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Nov 3rd, 2008 - about 17 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 1295762730 NPPES
Wisconsin MEDICAID 40398600

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