Likhterev, Alla Y
Likhterev, Alla Y is an sole proprietor health care provider with primary practice located at Winnebago Mental Health Institute 1300 South Drive , Winnebago WI 54985-0009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Likhterev, Alla Y can be contacted via phone (920) 235-4910.Contact Information
Primary practice address
Winnebago Mental Health Institute 1300 South Drive
Winnebago WI 54985-0009
Phone: (920) 235-4910
Fax: (920) 236-2931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 37144 | Wisconsin |
Profile Details
| NPI number | 1295896454 |
|---|---|
| LBN Legal business name | Likhterev, Alla Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1295896454 | NPPES |
| Wisconsin | MEDICAID | 32282700 | |
| Wisconsin | Other | 37144 |
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