Van Dyke, Anita Joan
Van Dyke, Anita Joan is an sole proprietor health care provider with primary practice located at 9425 Elderberry Rd # 9425 , Middleton WI 53562-4365. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Van Dyke, Anita Joan can be contacted via phone (319) 329-5149.Contact Information
Primary practice address
9425 Elderberry Rd # 9425
Middleton WI 53562-4365
Phone: (319) 329-5149
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7916-125 | Wisconsin |
Profile Details
| NPI number | 1104403104 |
|---|---|
| LBN Legal business name | Van Dyke, Anita Joan |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2021 |
| Last updated | Mar 25th, 2021 - about 3 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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