Dornfeld, Holley
Dornfeld, Holley is an individual health care provider with primary practice located at 571 County Road A , Green Lake WI 54941-8630. 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. Dornfeld, Holley can be contacted via phone (920) 294-4070.Contact Information
Primary practice address
571 County Road A
Green Lake WI 54941-8630
Phone: (920) 294-4070
Fax: (920) 294-4139
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 19295-130 | Wisconsin |
Profile Details
NPI number | 1669072872 |
---|---|
LBN Legal business name | Dornfeld, Holley |
Credentials | SAC-IT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2020 |
Last updated | Oct 27th, 2020 - 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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