Niles, Marianne
Niles, Marianne is an individual health care provider with primary practice located at 459 E 1St St , Fond Du Lac WI 54935-4505. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Niles, Marianne can be contacted via phone (920) 929-3554.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1965 | Wisconsin |
Profile Details
| NPI number | 1518184910 |
|---|---|
| LBN Legal business name | Niles, Marianne |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jan 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518184910 | NPPES |
| Wisconsin | MEDICAID | 39683600 |
Popular Providers
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Nehring, Kristine
459 E 1St St , Fond Du Lac WI 54935-4505 -
Majors, Mary Christine
371 E 1St St , Fond Du Lac WI 54935-4563 -
Schaefer, Evelyn M
430 E Division St , Fond Du Lac WI 54935-4560 -
Rogers-Doll, Elizabeth Scott
40 Camelot Dr , Fond Du Lac WI 54935-8049 -
Klausen, Espen
459 E 1St St , Fond Du Lac WI 54935-4505 -
Tirabassi, Domenick
420 E Division St , Fond Du Lac WI 54935-4560 -
Haney, Joseph
459 E 1St St , Fond Du Lac WI 54935-4505 -
Kaczmarek, Teri L.
210 Wisconsin American Dr , Fond Du Lac WI 54937-2999