Dieckman, Abbey J

Dieckman, Abbey J is an individual health care provider with primary practice located at 108 W 2Nd St N , Ladysmith WI 54848-1338. 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. Dieckman, Abbey J can be contacted via phone (715) 532-9771.

Contact Information

Primary practice address
108 W 2Nd St N Ladysmith WI 54848-1338
Phone: (715) 532-9771
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15735-131 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15717-132 Wisconsin

Profile Details

NPI number 1427322759
LBN Legal business name Dieckman, Abbey J
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2012
Last updated Feb 1st, 2021 - about 4 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 1427322759 NPPES
Wisconsin Other 1427322759 DEANHEALTH PLAN
Wisconsin MEDICAID 1427322759 DEANHEALTH PLAN
Wisconsin Other MALOMABB DEANHEALTH PLAN
Wisconsin Other 1427322759 DEANHEALTH PLAN

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