Hansen, Pamela M
Hansen, Pamela M is an sole proprietor health care provider with primary practice located at 6815 W Capitol Dr Ste 304 , Milwaukee WI 53216-2056. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hansen, Pamela M can be contacted via phone (414) 460-6995.Contact Information
Primary practice address
6815 W Capitol Dr Ste 304
Milwaukee WI 53216-2056
Phone: (414) 460-6995
Fax: (414) 355-5467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1008-121 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9532-123 | Wisconsin |
Profile Details
| NPI number | 1750557773 |
|---|---|
| LBN Legal business name | Hansen, Pamela M |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2008 |
| Last updated | Jul 26th, 2023 - about last year |
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 | 1750557773 | NPPES |
| Wisconsin | MEDICAID | 43575900 |
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