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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1407961584 NPPES
Wisconsin MEDICAID 100016363
Wisconsin MEDICAID 41265500

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