Drevnick, Michele Anne

Drevnick, Michele Anne is an individual health care provider with primary practice located at 401 Stageline Rd Suite 6, Hudson WI 54016-7897. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Drevnick, Michele Anne can be contacted via phone (715) 531-6710.

Contact Information

Primary practice address
401 Stageline Rd Suite 6 Hudson WI 54016-7897
Fax: (715) 531-6711
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 173-156 Wisconsin

Profile Details

NPI number 1548267396
LBN Legal business name Drevnick, Michele Anne
Credentials M.S., F-AAA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 9th, 2007 - about 18 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 1548267396 NPPES
Wisconsin MEDICAID 41121100
Wisconsin Other 900174681012

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