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Contact Information

ALICIA S BALISTRERI
5735 DURAND AVE
MOUNT PLEASANT, WI53406-5011
 Phone: 262-598-1392
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ALICIA S BALISTRERI · (Female)

NPI # 1528674330
Status Active
Credentials
Entity Individual
Enumeration date 09/17/2020
Last updated 09/17/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 16353-131
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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