Ross, Darlene

Ross, Darlene is an individual health care provider with primary practice located at 5103 N 58Th St , Milwaukee WI 53218-4251. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ross, Darlene can be contacted via phone (414) 810-3706.

Contact Information

Primary practice address
5103 N 58Th St Milwaukee WI 53218-4251
Phone: (414) 810-3706
Fax: (414) 810-3702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Wisconsin

Profile Details

NPI number 1114192382
LBN Legal business name Ross, Darlene
Credentials BS, MS AND (CSAC) 14
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Mar 29th, 2016 - about 9 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 1114192382 NPPES
Wisconsin MEDICAID 41161300

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