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Contact Information

JOANNE L TULACHKA, CSAC
810 LINCOLN STREET
KEWAUNEE, WI54216
 Phone: 920-388-7030
 Fax: 920-388-7044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JOANNE L TULACHKA · (Female)

NPI Number 1285741876
Status Active
Credentials CSAC
Entity Individual
Enumeration date 08/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 15190132
  • WI Medicaid 39174200
  • WI Other 3949242490003 BCBS
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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