Dr. Rima Abraham Defatta
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
1490 Rivers Edge Trl
Altoona
, Wisconsin 54720-2755
Dr. Rima Abraham Defatta
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
1490 Rivers Edge Trl
Altoona
, Wisconsin 54720-2755
(715) 839-7796
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Rima Abraham Defatta
- 1490 Rivers Edge Trl
- Altoona, WI
- Zip : 54720-2755
- Fax : (715) 839-7796
- Phone : (715) 828-2368
Second Address
- Dr. Rima Abraham Defatta
- 1490 Rivers Edge Trl
- Altoona, WI
- Zip : 54720-2755
- Fax : (715) 839-7796
- Phone : (715) 828-2368
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 440103 | PA |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 55928-20 | WI |
| N | 207YP0228X | Pediatric Otolaryngology | 55928 | WI |
National Provider Identifier
| NPI | 1790931707 |
|---|---|
| Provider Name | Dr. Rima Abraham Defatta |
| First Address | Altoona, WI 54720-2755 |
| Second Address | Altoona, WI 54720-2755 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2008 |
| Last Update Date | 20/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.