Stried, Chantel M
Stried, Chantel M is an individual health care provider with primary practice located at 903 Mineral Point Ave , Janesville WI 53548-2970. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stried, Chantel M can be contacted via phone (608) 756-5555.Contact Information
Primary practice address
903 Mineral Point Ave
Janesville WI 53548-2970
Phone: (608) 756-5555
Fax: (608) 756-0174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6685 | Wisconsin |
Profile Details
| NPI number | 1467506345 |
|---|---|
| LBN Legal business name | Stried, Chantel M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 11th, 2012 - about 12 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 | 1467506345 | NPPES |
| Wisconsin | Other | STRIECHA MO | MERCYCARE INSURANCE |
| Wisconsin | MEDICAID | 39766100 | MERCYCARE INSURANCE |
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