Kannenberg, Lonna D.

Kannenberg, Lonna D. is an individual health care provider with primary practice located at N91W17271 Appleton Ave Ste 1 , Menomonee Falls WI 53051-2045. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Kannenberg, Lonna D. can be contacted via phone (262) 502-3300.

Contact Information

Primary practice address
N91W17271 Appleton Ave Ste 1 Menomonee Falls WI 53051-2045
Phone: (262) 502-3300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 588-123 Wisconsin

Profile Details

NPI number 1942266531
LBN Legal business name Kannenberg, Lonna D.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Nov 4th, 2010 - about 14 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 1942266531 NPPES
Wisconsin MEDICAID 39757700

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