Bohatkiewicz, Marilyn Elizabeth
Bohatkiewicz, Marilyn Elizabeth is an sole proprietor health care provider with primary practice located at 2200 Dickinson Rd Unit 4 Suite B, De Pere WI 54115-4056. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bohatkiewicz, Marilyn Elizabeth can be contacted via phone (920) 347-3500.Contact Information
Primary practice address
2200 Dickinson Rd Unit 4 Suite B
De Pere WI 54115-4056
Phone: (920) 347-3500
Fax: (920) 347-3501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1180057 | Wisconsin |
Profile Details
| NPI number | 1992884159 |
|---|---|
| LBN Legal business name | Bohatkiewicz, Marilyn Elizabeth |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Feb 24th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992884159 | NPPES |
| Wisconsin | MEDICAID | 39040500 |
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