Conway, Debra Lynn
Conway, Debra Lynn is an individual health care provider with primary practice located at 108 N Lincoln Ave , Beaver Dam WI 53916. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Conway, Debra Lynn can be contacted via phone (920) 887-8751.Contact Information
Primary practice address
108 N Lincoln Ave
Beaver Dam WI 53916
Phone: (920) 887-8751
Fax: (920) 887-3977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3157125 | Wisconsin |
Profile Details
| NPI number | 1457439895 |
|---|---|
| LBN Legal business name | Conway, Debra Lynn |
| Credentials | MS LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1457439895 | NPPES |
| Wisconsin | MEDICAID | 40932800 |
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