Kunick, Douglas L

Kunick, Douglas L is an individual health care provider with primary practice located at 808 Main St E , Menomonie WI 54751-2735. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kunick, Douglas L can be contacted via phone (715) 232-1116.

Contact Information

Primary practice address
808 Main St E Menomonie WI 54751-2735
Phone: (715) 232-1116
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9-123 Wisconsin

Profile Details

NPI number 1437103470
LBN Legal business name Kunick, Douglas L
Credentials MSSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 9th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437103470 NPPES
Minnesota Other 18934 MMSI PROVIDER NUMBER
Minnesota MEDICAID 39715300 MMSI PROVIDER NUMBER
Minnesota Other 1016363 MMSI PROVIDER NUMBER
Minnesota Other 2418 MMSI PROVIDER NUMBER

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