Provider Demographics
NPI:1770120560
Name:ALSETH, PAULETTE L
Entity type:Individual
Prefix:
First Name:PAULETTE
Middle Name:L
Last Name:ALSETH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5927 E COUNTY ROAD B
Mailing Address - Street 2:
Mailing Address - City:SOUTH RANGE
Mailing Address - State:WI
Mailing Address - Zip Code:54874-8400
Mailing Address - Country:US
Mailing Address - Phone:715-917-0199
Mailing Address - Fax:
Practice Address - Street 1:5927 E COUNTY ROAD B
Practice Address - Street 2:
Practice Address - City:SOUTH RANGE
Practice Address - State:WI
Practice Address - Zip Code:54874-8400
Practice Address - Country:US
Practice Address - Phone:715-917-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-29
Last Update Date:2019-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care