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Contact Information

ANDREA AIKENS
2108 63RD ST
KENOSHA, WI53143-4454
 Phone: 262-652-2406
 Fax: 262-652-2408
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ANDREA AIKENS · (Female)

NPI Number 1760914865
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2017
Last updated 03/29/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 17585-130
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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