Branch, Pheynell

Branch, Pheynell is an individual health care provider with primary practice located at 1650 Wasington Ave , Racine WI 53403. 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. Branch, Pheynell can be contacted via phone (262) 633-5001.

Contact Information

Primary practice address
1650 Wasington Ave Racine WI 53403
Phone: (262) 633-5001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15662-132 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15476-133 Wisconsin

Profile Details

NPI number 1457780496
LBN Legal business name Branch, Pheynell
Credentials AAS, CSAC,CSIT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2013
Last updated Nov 8th, 2013 - 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.

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