Tomfohrde, Olivia Jean

Tomfohrde, Olivia Jean is an individual health care provider with primary practice located at 2004 Highland Ave , Eau Claire WI 54701-4400. 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. Tomfohrde, Olivia Jean can be contacted via phone (715) 835-5915.

Contact Information

Primary practice address
2004 Highland Ave Eau Claire WI 54701-4400
Phone: (715) 835-5915
Fax: (715) 835-8112
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1942681846
LBN Legal business name Tomfohrde, Olivia Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2015
Last updated Dec 11th, 2018 - about 8 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 1942681846 NPPES
Wisconsin MEDICAID 1942681846

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