Antonia Sallis in Milwaukee - Addiction (substance Use Disorder)

Antonia Sallis - NPI 1033247606

Antonia Sallis is a Addiction (substance Use Disorder) in Milwaukee, Wisconsin. Antonia Sallis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Antonia Sallis is 1033247606. The last update date is 2007-07-08.

Antonia Sallis's current location address is Po Box 16725, Milwaukee, Wisconsin. You can contact this provider via phone number 4143640406 and fax number 4144426387. The mailing address for Antonia Sallis is Po Box 16725, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Antonia Sallis
Address Po Box 16725, Milwaukee, Wisconsin
Phone Number 4143640406
Fax Number 4144426387
Sole Proprietor Y
Credentials MS,SAC,DPI

NPI Number Detail

NPI Number 1033247606
Provider Enumeration Date 2007-03-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 16725
City Milwaukee
State Wisconsin (WI)
Post Code 532160725
Phone Number 4143640406
Fax Number 4144426387

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 15375-130
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15375-130 WI SUBSTANCE ABUSE COUNSELOR

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FAQs about Antonia Sallis

What is the unique 10-digit identifier code issued to Antonia Sallis by the Centers for Medicare & Medicaid Services?

The Antonia Sallis has been assigned the NPI (National Provider Identifier) 1033247606 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Antonia Sallis's facilities are situated?

The facilities of Antonia Sallis are physically located at the following address: Po Box 16725, Milwaukee, WI, 532160725.

What is Antonia Sallis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Antonia Sallis is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

On what date did the Antonia Sallis receive the assignment of its 1033247606 from the Centers for Medicare & Medicaid Services?

The Antonia Sallis was issued its 1033247606 by the Centers for Medicare & Medicaid Services on 2007-03-02.

When was the information regarding Antonia Sallis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Antonia Sallis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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