Marchillo, Audrey Elaine

Marchillo, Audrey Elaine is an individual health care provider with primary practice located at 3447 Bee Ln , Beloit WI 53511-1901. 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. Marchillo, Audrey Elaine can be contacted via phone (608) 361-7200.

Contact Information

Primary practice address
3447 Bee Ln Beloit WI 53511-1901
Phone: (608) 361-7200
Fax: (608) 361-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17808-130 Wisconsin

Profile Details

NPI number 1518477660
LBN Legal business name Marchillo, Audrey Elaine
Credentials SACIT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2017
Last updated Oct 3rd, 2017 - about 9 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 1518477660 NPPES
Wisconsin Other 17808-130 SACIT

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