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Contact Information

ISMAEL ACEVEDO, CSAC
4555 W SCHROEDER DR
185
BROWN DEER, WI53223-1475
 Phone: 414-586-0222
 Fax: 414-586-0236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ISMAEL ACEVEDO · (Male)

NPI Number 1669654125
Status Active
Credentials CSAC
Entity Individual
Enumeration date 11/27/2007
Last updated 11/27/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1687-132
  • WI Medicaid 39357400
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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