Provider Demographics
NPI:1548309941
Name:BITNER, JAMES F (CSAC, ICS II)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:BITNER
Suffix:
Gender:M
Credentials:CSAC, ICS II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3953 CARL ST
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54403-2286
Mailing Address - Country:US
Mailing Address - Phone:715-581-1981
Mailing Address - Fax:
Practice Address - Street 1:1218 N 4TH ST
Practice Address - Street 2:SUITE 108
Practice Address - City:TOMAHAWK
Practice Address - State:WI
Practice Address - Zip Code:54487-2135
Practice Address - Country:US
Practice Address - Phone:715-224-2100
Practice Address - Fax:715-224-2106
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11555 - 132101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI393803000Medicaid