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Contact Information

HERBERT J FELLERER, APNP
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI53081
 Phone: 920-457-4461
 Fax: 920-459-1483
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HERBERT J FELLERER · (Male)

NPI Number 1407961584
Status Active
Credentials APNP
Entity Individual
Enumeration date 08/20/2006
Last updated 12/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2466
  • WI License # 2466-33
  • WI Medicaid 100016363
  • WI Medicaid 41265500
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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