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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

IDA M UMENTUM, MSW
141 SIEGLER ST
GREEN BAY, WI54303-2635
 Phone: 920-497-3126
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for IDA M UMENTUM · (Female)

NPI Number 1811198799
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 05/30/2007
Last updated 07/08/2007 - About 9 years ago
Sole proprietor 1 No
Identifiers
WI License # 888-122
Hospital affiliation(s) n/a
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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