Witlacil, Ashley B.
Witlacil, Ashley B. is an individual health care provider with primary practice located at 1095 Midway Rd , Menasha WI 54952-1115. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Witlacil, Ashley B. can be contacted via phone (920) 720-2300.Contact Information
Primary practice address
1095 Midway Rd
Menasha WI 54952-1115
Phone: (920) 720-2300
Fax: (920) 720-3719
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15855 | Wisconsin |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5755 | Wisconsin |
Profile Details
NPI number | 1821368754 |
---|---|
LBN Legal business name | Witlacil, Ashley B. |
Credentials | SAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 2012 |
Last updated | Nov 9th, 2015 - about 10 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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