Kirk, Linda J
Kirk, Linda J is an sole proprietor health care provider with primary practice located at 215 N Main St Ste 201 , West Bend WI 53095-3337. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kirk, Linda J can be contacted via phone (262) 299-9780.Contact Information
Primary practice address
215 N Main St Ste 201
West Bend WI 53095-3337
Phone: (262) 299-9780
Fax: (877) 810-4188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2934-125 | Wisconsin |
Profile Details
| NPI number | 1255484564 |
|---|---|
| LBN Legal business name | Kirk, Linda J |
| Credentials | MSE, LPC, CSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Apr 18th, 2019 - about 6 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 | 1255484564 | NPPES |
| Wisconsin | MEDICAID | 43579100 |
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