Fountain, Erika Karna
Fountain, Erika Karna is an sole proprietor health care provider with primary practice located at 101 Broad St Suite 201, Lake Geneva WI 53147-2000. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fountain, Erika Karna can be contacted via phone (262) 248-7942.Contact Information
Primary practice address
101 Broad St Suite 201
Lake Geneva WI 53147-2000
Phone: (262) 248-7942
Fax: (262) 248-1202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4002-125 | Wisconsin |
Profile Details
| NPI number | 1306023932 |
|---|---|
| LBN Legal business name | Fountain, Erika Karna |
| Credentials | M.A. LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2008 |
| Last updated | Apr 17th, 2013 - about 11 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 | 1306023932 | NPPES |
| Wisconsin | MEDICAID | 43732300 |
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