Kolocek, Ann K

Kolocek, Ann K is an individual health care provider with primary practice located at 200 Front St Suite 3D, Beaver Dam WI 53916-1667. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kolocek, Ann K can be contacted via phone (920) 885-2780.

Contact Information

Primary practice address
200 Front St Suite 3D Beaver Dam WI 53916-1667
Phone: (920) 885-2780
Fax: (920) 885-2788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1935057 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1935-57 Wisconsin

Profile Details

NPI number 1538181169
LBN Legal business name Kolocek, Ann K
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 16th, 2021 - about 3 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 1538181169 NPPES
Wisconsin MEDICAID 39689100

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