Schafer, Wanda Jean

Schafer, Wanda Jean is an individual health care provider with primary practice located at 1707 Main St , La Crosse WI 54601-4200. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Schafer, Wanda Jean can be contacted via phone (608) 788-6322.

Contact Information

Primary practice address
1707 Main St La Crosse WI 54601-4200
Phone: (608) 788-6322
Fax: (608) 785-0002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3847-123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 63-124 Wisconsin

Profile Details

NPI number 1164535324
LBN Legal business name Schafer, Wanda Jean
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jan 8th, 2008 - about 18 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 1164535324 NPPES
Wisconsin MEDICAID 39281800
Wisconsin Other 016L6SC

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