Holmquist, Ruth Alice

Holmquist, Ruth Alice is an individual health care provider with primary practice located at 571 County Rd A , Green Lake WI 54941-9798. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Holmquist, Ruth Alice can be contacted via phone (920) 294-4070.

Contact Information

Primary practice address
571 County Rd A Green Lake WI 54941-9798
Phone: (920) 294-4070
Fax: (920) 294-4139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12971 132 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 356 121 Wisconsin

Profile Details

NPI number 1851428528
LBN Legal business name Holmquist, Ruth Alice
Credentials APSW CSAC CADCIII
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Aug 17th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851428528 NPPES
Wisconsin MEDICAID 40942000

Popular Providers