Vandomelen, Sandra M

Vandomelen, Sandra M is an individual health care provider with primary practice located at 9415 W Forest Home Ave Suite #1, Hales Corners WI 53130-1680. 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. Vandomelen, Sandra M can be contacted via phone (414) 427-4884.

Contact Information

Primary practice address
9415 W Forest Home Ave Suite #1 Hales Corners WI 53130-1680
Phone: (414) 427-4884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15463-130 Wisconsin

Profile Details

NPI number 1225201817
LBN Legal business name Vandomelen, Sandra M
Credentials SAC-IT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2008
Last updated Apr 4th, 2008 - about 17 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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