Organization
SHELLEY BOEHM MATTIA MD,ADULT PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY KATHRYN BOEHM MATTIA M.D. (LICENSED PHYSICIAN)
(920) 246-4925
Entity
Organization
Contact information
Practice address
428 DOTY ST, GREEN BAY, WI 54301-4509
(920) 965-6768
(920) 965-6769
Mailing address
428 DOTY ST, GREEN BAY, WI 54301-4509
(920) 965-6768
(920) 965-6769
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
39641
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32453500
—
WI
Enumeration date
03/24/2016
Last updated
10/04/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us