National Provider Identifier Database

LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Mental Health (Including Community Mental Health Center)


Contact Information

LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
3378 N. SCHILLEMAN RD
LAC DU FLAMBEAU, WI54538-0815
Phone: 715-388-0762
Fax: 715-588-1889
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Federally Qualified Health Center (FQHC) 261QF0400X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS

NPI Number 1669970729
Legal business name
LBN
LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Authorized official PAMELA AHLBORN - (COMPLIANCE & CONTRACT COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 01/24/2018
Last updated 09/13/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 3100

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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