Fellerer, Herbert J
Fellerer, Herbert J is an individual health care provider with primary practice located at 2414 Kohler Memorial Dr , Sheboygan WI 53081. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Fellerer, Herbert J can be contacted via phone (920) 457-4461.Contact Information
Primary practice address
2414 Kohler Memorial Dr
Sheboygan WI 53081
Phone: (920) 457-4461
Fax: (920) 459-1483
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2466 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 2466-33 | Wisconsin |
Profile Details
NPI number | 1407961584 |
---|---|
LBN Legal business name | Fellerer, Herbert J |
Credentials | APNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 20th, 2006 |
Last updated | Dec 1st, 2021 - 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 | 1407961584 | NPPES |
Wisconsin | MEDICAID | 100016363 | |
Wisconsin | MEDICAID | 41265500 |
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