Fettes, Patricia A

Fettes, Patricia A is an individual health care provider with primary practice located at 235 E State St , Saint Croix Falls WI 54024-4117. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Fettes, Patricia A can be contacted via phone (715) 483-3221.

Contact Information

Primary practice address
235 E State St Saint Croix Falls WI 54024-4117
Phone: (715) 483-3221
Fax: (715) 483-0507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2159 Wisconsin

Profile Details

NPI number 1124102736
LBN Legal business name Fettes, Patricia A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jan 14th, 2021 - about 5 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 1124102736 NPPES
Minnesota Other 25G96FE BCBS MN PRO FEE
Minnesota Other HP27843 BCBS MN PRO FEE
Minnesota Other NA9031022306 BCBS MN PRO FEE
Minnesota Other 27G33FE BCBS MN PRO FEE
Minnesota MEDICAID 39126100 BCBS MN PRO FEE
Minnesota MEDICAID 874516100 BCBS MN PRO FEE
Minnesota Other 61-59205 BCBS MN PRO FEE

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