Wockenfus, Julie
Wockenfus, Julie is an individual health care provider with primary practice located at 1095 Midway Rd , Menasha WI 54952-1115. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wockenfus, Julie 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 | 12323 | Wisconsin |
Profile Details
| NPI number | 1184785966 |
|---|---|
| LBN Legal business name | Wockenfus, Julie |
| Credentials | CSAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Mar 3rd, 2011 - about 13 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 | 1184785966 | NPPES |
| Wisconsin | MEDICAID | 39399700 |
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