Fitzgerald, Michele Anne
Fitzgerald, Michele Anne is an individual health care provider with primary practice located at 1500 N 34Th St Suite 200, Superior WI 54880-4477. 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 / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fitzgerald, Michele Anne can be contacted via phone (715) 392-8216.Contact Information
Primary practice address
1500 N 34Th St Suite 200
Superior WI 54880-4477
Phone: (715) 392-8216
Fax: (715) 392-6055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1651-132 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5453-125 | Wisconsin |
Profile Details
| NPI number | 1801169917 |
|---|---|
| LBN Legal business name | Fitzgerald, Michele Anne |
| Credentials | MSED, CSAC, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2012 |
| Last updated | Mar 23rd, 2018 - about 8 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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