Knox, Diane

Knox, Diane is an individual health care provider with primary practice located at 1622 Chestnut St , West Bend WI 53095-3014. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Knox, Diane can be contacted via phone (262) 338-9498.

Contact Information

Primary practice address
1622 Chestnut St West Bend WI 53095-3014
Phone: (262) 338-9498
Fax: (262) 338-9506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3412-125 Wisconsin

Profile Details

NPI number 1831105493
LBN Legal business name Knox, Diane
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jan 4th, 2008 - about 16 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 1831105493 NPPES
Wisconsin MEDICAID 40984800

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