Feaster, Dan G
Feaster, Dan G is an individual health care provider with primary practice located at 5900 Monona Dr Ste 100 , Monona WI 53716-3556. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Feaster, Dan G can be contacted via phone (608) 663-0763.Contact Information
Primary practice address
5900 Monona Dr Ste 100
Monona WI 53716-3556
Phone: (608) 663-0763
Fax: (608) 663-0765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2511-123 | Wisconsin |
Profile Details
| NPI number | 1790985000 |
|---|---|
| LBN Legal business name | Feaster, Dan G |
| Credentials | L.C.S.W. M.S.W. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2007 |
| Last updated | Feb 1st, 2017 - about 9 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 | 1790985000 | NPPES |
| Wisconsin | Other | 1962544353 | NPI FOR SAMARITAN COUNSEL |
| Wisconsin | MEDICAID | 39567300 | NPI FOR SAMARITAN COUNSEL |
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