Feller, Anntionette M
Feller, Anntionette M is an individual health care provider with primary practice located at 2005 Highland Ave , Eau Claire WI 54701-4455. 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 / Counselor. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Feller, Anntionette M can be contacted via phone (715) 832-5454.Contact Information
Primary practice address
2005 Highland Ave
Eau Claire WI 54701-4455
Phone: (715) 832-5454
Fax: (715) 832-2991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13209 | Wisconsin |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | NA |
Profile Details
| NPI number | 1134187750 |
|---|---|
| LBN Legal business name | Feller, Anntionette M |
| Credentials | CSAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | May 22nd, 2008 - about 18 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 | 1134187750 | NPPES |
| Wisconsin | Other | 56001 | SECURITY HEALTH PLAN |
| Wisconsin | MEDICAID | 39374200 | SECURITY HEALTH PLAN |
| Wisconsin | Other | 637871032291 | SECURITY HEALTH PLAN |
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