Huffar, Marlene R
Huffar, Marlene R is an individual health care provider with primary practice located at W4051 County Rd Nn , Elkhorn WI 53121. 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 / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Huffar, Marlene R can be contacted via phone (262) 741-3200.Contact Information
Primary practice address
W4051 County Rd Nn
Elkhorn WI 53121
Phone: (262) 741-3200
Fax: (262) 741-3217
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 961 | Wisconsin |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1204-125 | Wisconsin |
Profile Details
NPI number | 1336239581 |
---|---|
LBN Legal business name | Huffar, Marlene R |
Credentials | CADC III |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2006 |
Last updated | Jul 13th, 2007 - about 17 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 | 1336239581 | NPPES |
Wisconsin | Other | 10151 | DEAN HEALTH IND PROV # |
Wisconsin | MEDICAID | 42124600 | DEAN HEALTH IND PROV # |
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