Polacek, Debra I
Polacek, Debra I is an sole proprietor health care provider with primary practice located at 5930 Seminole Centre Ct Ste A , Fitchburg WI 53711-5165. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Polacek, Debra I can be contacted via phone (608) 571-7470.Contact Information
Primary practice address
5930 Seminole Centre Ct Ste A
Fitchburg WI 53711-5165
Phone: (608) 571-7470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1111-124 | Wisconsin |
Profile Details
| NPI number | 1457781452 |
|---|---|
| LBN Legal business name | Polacek, Debra I |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2013 |
| Last updated | Jan 27th, 2020 - about 6 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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