Schrader, Wanda Ivelisse
Schrader, Wanda Ivelisse is an individual health care provider with primary practice located at 18425 Pony Express Dr Unit 203 , Parker CO 80134-9605. 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. Schrader, Wanda Ivelisse can be contacted via phone (303) 805-1218.Contact Information
Primary practice address
18425 Pony Express Dr Unit 203
Parker CO 80134-9605
Phone: (303) 805-1218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Indiana |
Profile Details
| NPI number | 1114513322 |
|---|---|
| LBN Legal business name | Schrader, Wanda Ivelisse |
| Credentials | ICADC, CADAC II |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2020 |
| Last updated | Dec 12th, 2020 - about 5 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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