Northshore Clinic Of Sheboygan Inc | |
615 S 8th St Ste G20 Sheboygan WI 53081-4405 | |
(920) 457-8866 | |
(920) 457-8867 |
Full Name | Northshore Clinic Of Sheboygan Inc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 615 S 8th St, Sheboygan, Wisconsin |
Authorized Official Name and Position | Sue A Balog (OWNER PRESIDENT) |
Authorized Official Contact | 9204578866 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northshore Clinic Of Sheboygan Inc 615 S 8th St Ste G20 Sheboygan WI 53081-4405 Ph: (920) 457-8866 | Northshore Clinic Of Sheboygan Inc 615 S 8th St Ste G20 Sheboygan WI 53081-4405 Ph: (920) 457-8866 |
NPI Number | 1326020629 |
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Provider Enumeration Date | 11/14/2005 |
Last Update Date | 11/16/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326020629 | NPI | - | NPPES |
42233600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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