| Organization Name: | OMNE CLINIC INC |
| NPI Number: | 1568573715 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTON C SMETS (PRESIDENT) |
| Mailing Address: | 233 E La Salle Avenue Barron |
| State: | WI US |
| Postal Code: | 54812 |
| Phone Number: | 8008472144 |
| Fax Number: | 7156377053 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 1720 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |