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:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1831105493 | NPPES |
| Wisconsin | MEDICAID | 40984800 |
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