Ebelt, Gretchen Anne
Ebelt, Gretchen Anne is an individual health care provider with primary practice located at 1325 Angels Path , De Pere WI 54115-4050. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ebelt, Gretchen Anne can be contacted via phone (920) 338-2855.Contact Information
Primary practice address
1325 Angels Path
De Pere WI 54115-4050
Phone: (920) 338-2855
Fax: (920) 403-7360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7864-123 | Wisconsin |
Profile Details
| NPI number | 1265765564 |
|---|---|
| LBN Legal business name | Ebelt, Gretchen Anne |
| Credentials | MSW,LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2009 |
| Last updated | Nov 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265765564 | NPPES |
| Wisconsin | MEDICAID | 1265765564 |
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