Kaiser, Rebecca Anna

Kaiser, Rebecca Anna is an individual health care provider with primary practice located at 317 De Witt St , Portage WI 53901-2155. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kaiser, Rebecca Anna can be contacted via phone (608) 566-3812.

Contact Information

Primary practice address
317 De Witt St Portage WI 53901-2155
Phone: (608) 566-3812
Fax: (608) 745-1757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 837-124 Wisconsin

Profile Details

NPI number 1306052295
LBN Legal business name Kaiser, Rebecca Anna
Credentials MS, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jan 23rd, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306052295 NPPES
Wisconsin MEDICAID 43730800

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