Neal, Linda S

Neal, Linda S is an individual health care provider with primary practice located at 3535 30Th Ave Suite 202, Kenosha WI 53144-1632. 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 / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Neal, Linda S can be contacted via phone (262) 842-0500.

Contact Information

Primary practice address
3535 30Th Ave Suite 202 Kenosha WI 53144-1632
Fax: (262) 842-0502
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11974-132 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 127436-121 Wisconsin

Profile Details

NPI number 1700074986
LBN Legal business name Neal, Linda S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated May 26th, 2008 - about 16 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 1700074986 NPPES
Wisconsin MEDICAID 39389800

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