Defere, Nadeen Rae

Defere, Nadeen Rae is an individual health care provider with primary practice located at 140 Corporate Dr Ste 1, Beaver Dam WI 53916-1281. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Defere, Nadeen Rae can be contacted via phone (920) 887-2822.

Contact Information

Primary practice address
140 Corporate Dr Ste 1 Beaver Dam WI 53916-1281
Phone: (920) 887-2822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 263-156 Wisconsin

Profile Details

NPI number 1194995415
LBN Legal business name Defere, Nadeen Rae
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2008
Last updated Jul 6th, 2015 - about 10 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 1194995415 NPPES
Wisconsin MEDICAID 41133300

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