Christopher Michael Hoffman, | |
302 W Lake St, Friendship, WI 53934-9698 | |
(800) 942-5330 | |
Not Available |
Full Name | Christopher Michael Hoffman |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 302 W Lake St, Friendship, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144996349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 11023-125 (Wisconsin) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | La Clinica De Los Campesinos, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790786929 PECOS PAC ID: 8729996574 Enrollment ID: O20040806000058 |
Mailing Address | Practice Location Address |
---|---|
Christopher Michael Hoffman, 475 Tesserville Rd, Nekoosa, WI 54457-7508 Ph: (715) 697-3007 | Christopher Michael Hoffman, 302 W Lake St, Friendship, WI 53934-9698 Ph: (800) 942-5330 |
Ashley Schlachter, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4387 | |
Kristen Kimble Houslet, LPC Counselor Medicare: Medicare Enrolled Practice Location: 302 W Lake St, Friendship, WI 53934 Phone: 608-474-4355 Fax: 608-474-4309 | |
Mr. Mark Christopher Rossano, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4505 Fax: 608-339-4585 | |
Paula Squier, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Lake St, Friendship, WI 53934 Phone: 608-474-4355 Fax: 608-474-4309 | |
Thomas L Charles, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4511 Fax: 608-339-4593 | |
Trevor J Meyer, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4505 |