Wirtz, Melissa
Wirtz, Melissa is an individual health care provider with primary practice located at 627 Main St , Darlington WI 53530-1395. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wirtz, Melissa can be contacted via phone (608) 776-4800.Contact Information
Primary practice address
627 Main St
Darlington WI 53530-1395
Phone: (608) 776-4800
Fax: (608) 776-4914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1724-127 | Wisconsin |
Profile Details
| NPI number | 1184940165 |
|---|---|
| LBN Legal business name | Wirtz, Melissa |
| Credentials | SW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2010 |
| Last updated | Apr 15th, 2010 - 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 | 1184940165 | NPPES |
| Wisconsin | MEDICAID | 42139000 |
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