Fernette, Michael L

Fernette, Michael L is an individual health care provider with primary practice located at 200 W Alona Ln , Lancaster WI 53813-2202. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Fernette, Michael L can be contacted via phone (608) 723-6357.

Contact Information

Primary practice address
200 W Alona Ln Lancaster WI 53813-2202
Phone: (608) 723-6357
Fax: (608) 723-4417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1839 Wisconsin

Profile Details

NPI number 1346271541
LBN Legal business name Fernette, Michael L
Credentials CADC III
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346271541 NPPES
Wisconsin Other 10705 DEAN HEALTH PLANS
Wisconsin Other 39396100 DEAN HEALTH PLANS
Wisconsin MEDICAID 39396100 DEAN HEALTH PLANS

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