Fogleson, Carol L

Fogleson, Carol L is an individual health care provider with primary practice located at 220 E La Crosse St Juneau County Human Services, Mauston WI 53948-2101. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Fogleson, Carol L can be contacted via phone (608) 847-2400.

Contact Information

Primary practice address
220 E La Crosse St Juneau County Human Services Mauston WI 53948-2101
Phone: (608) 847-2400
Fax: (608) 847-9599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1799132 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1799 Wisconsin

Profile Details

NPI number 1447218987
LBN Legal business name Fogleson, Carol L
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1447218987 NPPES
Wisconsin MEDICAID 39355300

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