Antosiewicz, Michelle

Antosiewicz, Michelle is an individual health care provider with primary practice located at 3805B Spring St # 20 , Mount Pleasant WI 53405-1641. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Antosiewicz, Michelle can be contacted via phone (262) 687-2222.

Contact Information

Primary practice address
3805B Spring St # 20 Mount Pleasant WI 53405-1641
Phone: (262) 687-2222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7019 Wisconsin

Profile Details

NPI number 1962527523
LBN Legal business name Antosiewicz, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Mar 15th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962527523 NPPES
Wisconsin MEDICAID 11013500

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