Vandenberg, Pauline W
Vandenberg, Pauline W is an individual health care provider with primary practice located at 1810 Appleton Road , Menasha WI 54952. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Vandenberg, Pauline W can be contacted via phone (920) 939-4226.Contact Information
Primary practice address
1810 Appleton Road
Menasha WI 54952
Phone: (920) 939-4226
Fax: (920) 739-7639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3029125 | Wisconsin |
Profile Details
| NPI number | 1376689695 |
|---|---|
| LBN Legal business name | Vandenberg, Pauline W |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jun 4th, 2009 - about 15 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 | 1376689695 | NPPES |
| Wisconsin | MEDICAID | 43554100 |
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