Christianson, Kay L
Christianson, Kay L is an individual health care provider with primary practice located at 23 W Scott St , Fond Du Lac WI 54935-2342. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Christianson, Kay L can be contacted via phone (920) 926-0101.Contact Information
Primary practice address
23 W Scott St
Fond Du Lac WI 54935-2342
Phone: (920) 926-0101
Fax: (920) 926-0060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13885132 | Wisconsin |
Profile Details
| NPI number | 1578777249 |
|---|---|
| LBN Legal business name | Christianson, Kay L |
| Credentials | CSAC CLINICAL SUBSTA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Dec 28th, 2021 - about 3 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 | 1578777249 | NPPES |
| Wisconsin | MEDICAID | 39165600 |
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