Kistner, Judith Ann
Kistner, Judith Ann is an individual health care provider with primary practice located at 550 N Dewey St , Eau Claire WI 54703-3218. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kistner, Judith Ann can be contacted via phone (715) 834-6681.Contact Information
Primary practice address
550 N Dewey St
Eau Claire WI 54703-3218
Phone: (715) 834-6681
Fax: (715) 834-9954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2078125 | Wisconsin |
Profile Details
| NPI number | 1174797633 |
|---|---|
| LBN Legal business name | Kistner, Judith Ann |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2008 |
| Last updated | Apr 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174797633 | NPPES |
| Wisconsin | MEDICAID | 40945000 |
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