Emerson, Megan

Emerson, Megan is an individual health care provider with primary practice located at 124 Grayside Ave , Mauston WI 53948-1913. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Emerson, Megan can be contacted via phone (608) 847-7575.

Contact Information

Primary practice address
124 Grayside Ave Mauston WI 53948-1913
Phone: (608) 847-7575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1821749276
LBN Legal business name Emerson, Megan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2022
Last updated Jan 17th, 2022 - about 2 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 1821749276 NPPES
Wisconsin MEDICAID 100070813

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