NPI 1003525510

Shane Charles, Falbe Quella

Practitioner Peer Specialist Madison, WI

Practice location

Address: 25 Kessel CT STE 105, Madison, WI 53711-6227
Phone: (608) 280-2700

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 72121 (WI)

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Registry record

NPI: 1003525510
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Nov 2022
Record last updated: 23 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.