Mentzel, Alexander B

Mentzel, Alexander B is an individual health care provider with primary practice located at 2901 Hunters Trl , Portage WI 53901-3403. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mentzel, Alexander B can be contacted via phone (608) 742-5518.

Contact Information

Primary practice address
2901 Hunters Trl Portage WI 53901-3403
Phone: (608) 742-5518
Fax: (608) 742-4087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 7375-226 Wisconsin

Profile Details

NPI number 1205529914
LBN Legal business name Mentzel, Alexander B
Credentials MS, LPC-IT
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2023
Last updated May 31st, 2023 - about 3 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 1205529914 NPPES
Wisconsin MEDICAID 1205529914

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