Hurlburt, Marcy

Hurlburt, Marcy is an sole proprietor health care provider with primary practice located at 2000 N Oxford Ave Ste 2 , Eau Claire WI 54703-5187. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hurlburt, Marcy can be contacted via phone (715) 834-1078.

Contact Information

Primary practice address
2000 N Oxford Ave Ste 2 Eau Claire WI 54703-5187
Fax: (715) 834-1218
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14522 Wisconsin

Profile Details

NPI number 1720251937
LBN Legal business name Hurlburt, Marcy
Credentials SACIT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Apr 9th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720251937 NPPES
Wisconsin MEDICAID 39170900

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