Kirchner, Ann Elizabeth

Kirchner, Ann Elizabeth is an individual health care provider with primary practice located at 1810 Appleton Road , Menasha WI 54952. 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. Kirchner, Ann Elizabeth can be contacted via phone (920) 739-4226.

Contact Information

Primary practice address
1810 Appleton Road Menasha WI 54952
Phone: (920) 739-4226
Fax: (920) 739-7639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1221 125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2259 123 Wisconsin

Profile Details

NPI number 1811049422
LBN Legal business name Kirchner, Ann Elizabeth
Credentials LCSW LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Oct 12th, 2020 - about 4 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 1811049422 NPPES
Wisconsin MEDICAID 39629900

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