Demianiuk, Megan J

Demianiuk, Megan J is an individual health care provider with primary practice located at 4351 W College Ave Ste 410 , Appleton WI 54914-3928. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Demianiuk, Megan J can be contacted via phone (800) 438-1772.

Contact Information

Primary practice address
4351 W College Ave Ste 410 Appleton WI 54914-3928
Fax: (262) 345-5562
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 819-124 Wisconsin

Profile Details

NPI number 1679725972
LBN Legal business name Demianiuk, Megan J
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2008
Last updated Oct 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679725972 NPPES
Wisconsin MEDICAID 1679725972

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