Geronime, Daniel

Geronime, Daniel is an individual health care provider with primary practice located at 9532 E 16 Frontage Rd Ste. 100, Onalaska WI 54650-6739. He recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Geronime, Daniel can be contacted via phone (608) 783-0506.

Contact Information

Primary practice address
9532 E 16 Frontage Rd Ste. 100 Onalaska WI 54650-6739
Phone: (608) 783-0506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 16252330 Wisconsin

Profile Details

NPI number 1548718893
LBN Legal business name Geronime, Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2016
Last updated Sep 15th, 2016 - about 8 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 1548718893 NPPES
Wisconsin MEDICAID 1003150004

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