Konczak, Lee
Konczak, Lee is an individual health care provider with primary practice located at 16535 W Bluemound Rd 200, Brookfield WI 53005-5936. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Konczak, Lee can be contacted via phone (262) 542-3255.Contact Information
Primary practice address
16535 W Bluemound Rd 200
Brookfield WI 53005-5936
Phone: (262) 542-3255
Fax: (262) 821-6180
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12275 | Wisconsin |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 632123 | Wisconsin |
Behavioral Health & Social Service Providers / School | 1041S0200X | Wisconsin |
Profile Details
NPI number | 1518976703 |
---|---|
LBN Legal business name | Konczak, Lee |
Credentials | MSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2006 |
Last updated | Feb 13th, 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.
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