Erdman, Carol A

Erdman, Carol A is an sole proprietor health care provider with primary practice located at 335 Whitewater Ave , Fort Atkinson WI 53538-2253. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Erdman, Carol A can be contacted via phone (920) 691-0200.

Contact Information

Primary practice address
335 Whitewater Ave Fort Atkinson WI 53538-2253
Phone: (920) 691-0200
Fax: (920) 691-0201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10916 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3697-123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1124101951
LBN Legal business name Erdman, Carol A
Credentials LCSW, CADCIII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 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 1124101951 NPPES
Wisconsin MEDICAID 39799300

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