Hauke, Pamela

Hauke, Pamela is an individual health care provider with primary practice located at 6214 Washington Ave Suite C-6, Racine WI 53406. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hauke, Pamela can be contacted via phone (262) 947-4990.

Contact Information

Primary practice address
6214 Washington Ave Suite C-6 Racine WI 53406
Phone: (262) 947-4990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7187-123 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12150 Wisconsin

Profile Details

NPI number 1750409009
LBN Legal business name Hauke, Pamela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Oct 19th, 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 1750409009 NPPES
Wisconsin MEDICAID 11013500

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