ALICIA NEITZEL, Addiction (Substance Use Disorder) FOND DU LAC, WI

Contact Information

ALICIA NEITZEL

23 W SCOTT ST
FOND DU LAC, WI 54935

Phone: 920-926-0101
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction (Substance Use Disorder)	101YA0400X

Indicates primary specialty

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NPI Profile & details for ALICIA NEITZEL · (Female)

NPI Number	`1205329307`
Status	Active
Credentials
Entity	Individual
Enumeration date	06/13/2018
Last updated	06/13/2018 - About 8 years ago
Sole proprietor ¹	No
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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