Sutek, Ivy Noel
Sutek, Ivy Noel is an individual health care provider with primary practice located at 1557 Cleveland Avenue , Marinette WI 54143. 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. Sutek, Ivy Noel can be contacted via phone (715) 732-6868.Contact Information
Primary practice address
1557 Cleveland Avenue
Marinette WI 54143
Phone: (715) 732-6868
Fax: (715) 732-6866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2-01960 | Michigan |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 17091-132 | Wisconsin |
Profile Details
| NPI number | 1346881992 |
|---|---|
| LBN Legal business name | Sutek, Ivy Noel |
| Credentials | CSAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2019 |
| Last updated | Jun 9th, 2026 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346881992 | NPPES |
| Wisconsin | MEDICAID | 100096702 | |
| Wisconsin | MEDICAID | 1346881992 | |
| Wisconsin | Other | 18963130 |
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