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Contact Information

OMNE CLINIC, INC.
101 N. FARWELL STREET
STE. 204
EAU CLAIRE, WI54703
 Phone: 715-514-4600
 Fax: 715-514-4008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for OMNE CLINIC INC · (Female)

NPI # 1619081437
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2006
Last updated 11/19/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 1720
  • WI Medicaid 412144500
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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