Gillette, Patricia Anne

Gillette, Patricia Anne is an individual health care provider with primary practice located at 310 North Midvale Blvd Suite 202, Madison WI 53527. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gillette, Patricia Anne can be contacted via phone (608) 819-7513.

Contact Information

Primary practice address
310 North Midvale Blvd Suite 202 Madison WI 53527
Fax: (608) 238-1929
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1133125 Wisconsin

Profile Details

NPI number 1750429254
LBN Legal business name Gillette, Patricia Anne
Credentials LPC AND LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
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 1750429254 NPPES
Wisconsin MEDICAID 43594900

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