Doctor Name: | MR. JAMES F BITNER |
NPI Number: | 1548309941 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CSAC, ICS II |
License Number: | 11555 - 132 |
Business Practice Address: | 1218 N 4th St Suite 108 Tomahawk, WI - 544872135 |
Business Phone Number: | 7152242100 |
Business Fax Number: | 7152242106 |
Mailing Address: | 3953 Carl St, WAUSAU |
State: | WI |
Postal Code: | 544032286 |
Phone Number: | 7155811981 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 11/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 11555 - 132 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |