Belanger, Susan Johanna
Belanger, Susan Johanna is an sole proprietor health care provider with primary practice located at 209B W Washington St , Wausau WI 54403-5443. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Belanger, Susan Johanna can be contacted via phone (715) 845-3637.Contact Information
Primary practice address
209B W Washington St
Wausau WI 54403-5443
Phone: (715) 845-3637
Fax: (715) 845-1977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1414 | Wisconsin |
Profile Details
| NPI number | 1306985031 |
|---|---|
| LBN Legal business name | Belanger, Susan Johanna |
| Credentials | CADC III, CCS II |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306985031 | NPPES |
| Wisconsin | MEDICAID | 39350000 |
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