Ellison, Theresa A

Ellison, Theresa A is an individual health care provider with primary practice located at 13 Bay St , Chippewa Falls WI 54729-2437. 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. Ellison, Theresa A can be contacted via phone (715) 726-9023.

Contact Information

Primary practice address
13 Bay St Chippewa Falls WI 54729-2437
Phone: (715) 726-9023
Fax: (715) 726-9055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13165 Wisconsin

Profile Details

NPI number 1447574702
LBN Legal business name Ellison, Theresa A
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2010
Last updated Mar 16th, 2010 - about 15 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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