Flanagan, Patricia Ann

Flanagan, Patricia Ann is an individual health care provider with primary practice located at 1017 W Glen Oaks Ln Suite 201, Mequon WI 53092-3371. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Flanagan, Patricia Ann can be contacted via phone (262) 241-3698.

Contact Information

Primary practice address
1017 W Glen Oaks Ln Suite 201 Mequon WI 53092-3371
Fax: (262) 241-3359
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 650-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2695-057 Wisconsin

Profile Details

NPI number 1508943366
LBN Legal business name Flanagan, Patricia Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 8th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508943366 NPPES
Wisconsin MEDICAID 41005900
Wisconsin MEDICAID 42247200

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