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Contact Information

DEBRA L ENGEBOS, AUD
1501 S MADISON ST
APPLETON, WI54915-1846
 Phone: 920-730-4443
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
 

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for DEBRA L ENGEBOS · (Female)

NPI Number 1457348112
Status Active
Credentials AUD
Entity Individual
Enumeration date 09/28/2005
Last updated 08/30/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 310
  • WI Medicaid 41137000
Hospital affiliation(s)
  • CALUMET MEDICAL CTR - (Critical Access)
    614 MEMORIAL DRIVE
    CHILTON, WI 53014
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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