Norville, Michelle Marie

Norville, Michelle Marie is an individual health care provider with primary practice located at 3003 N Richmond Street Entrance C, Appleton WI 54911-1148. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Norville, Michelle Marie can be contacted via phone (920) 730-1326.

Contact Information

Primary practice address
3003 N Richmond Street Entrance C Appleton WI 54911-1148
Phone: (920) 730-1326
Fax: (920) 734-2824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3895-125 Wisconsin

Profile Details

NPI number 1134303803
LBN Legal business name Norville, Michelle Marie
Credentials MA,LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Nov 3rd, 2010 - about 16 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 1134303803 NPPES
Wisconsin Other 3895-125 LPC
Wisconsin MEDICAID 43745800 LPC

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