Haseleu, Mindy Elizabeth
Haseleu, Mindy Elizabeth is an individual health care provider with primary practice located at 705 W Main St Ste 3 , Sun Prairie WI 53590-2849. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Haseleu, Mindy Elizabeth can be contacted via phone (608) 825-6663.Contact Information
Primary practice address
705 W Main St Ste 3
Sun Prairie WI 53590-2849
Phone: (608) 825-6663
Fax: (608) 825-6946
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2519057 | Wisconsin |
Profile Details
NPI number | 1760490205 |
---|---|
LBN Legal business name | Haseleu, Mindy Elizabeth |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 3rd, 2006 |
Last updated | Jul 10th, 2013 - about 11 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 | 1760490205 | NPPES |
Wisconsin | Other | 13664 | DEAN INS |
Wisconsin | Other | 39184249622 | DEAN INS |
Wisconsin | Other | 39184249623 | DEAN INS |
Wisconsin | Other | 2004452 | DEAN INS |
Wisconsin | MEDICAID | 40976400 | DEAN INS |
Wisconsin | Other | 348589 | DEAN INS |
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