Feller, Anntionette M

Feller, Anntionette M is an individual health care provider with primary practice located at 2005 Highland Ave , Eau Claire WI 54701-4455. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Feller, Anntionette M can be contacted via phone (715) 832-5454.

Contact Information

Primary practice address
2005 Highland Ave Eau Claire WI 54701-4455
Phone: (715) 832-5454
Fax: (715) 832-2991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13209 Wisconsin
Behavioral Health & Social Service Providers / Counselor 101Y00000X NA

Profile Details

NPI number 1134187750
LBN Legal business name Feller, Anntionette M
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated May 22nd, 2008 - about 16 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 1134187750 NPPES
Wisconsin Other 56001 SECURITY HEALTH PLAN
Wisconsin MEDICAID 39374200 SECURITY HEALTH PLAN
Wisconsin Other 637871032291 SECURITY HEALTH PLAN

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