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Contact Information

JAN L MUSSALLEM
600 HIGHLAND AVE
COMPLIANCE MAIL CODE 2433
MADISON, WI53792
 Phone: 608-662-0817
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JAN L MUSSALLEM · (Female)

NPI Number 1053405522
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 10702-024
  • WI Other 10702-024 PT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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