Kupst, Mary Jo
Kupst, Mary Jo is an individual health care provider with primary practice located at 9000 West Wisconsin Ave Children'S Hospital Of Wisconsin, Milwaukee WI 53226. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kupst, Mary Jo can be contacted via phone (414) 805-3666.Contact Information
Primary practice address
9000 West Wisconsin Ave Children'S Hospital Of Wisconsin
Milwaukee WI 53226
Phone: (414) 805-3666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1479 | Wisconsin |
Profile Details
| NPI number | 1124079967 |
|---|---|
| LBN Legal business name | Kupst, Mary Jo |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124079967 | NPPES |
| Wisconsin | MEDICAID | 39082000 |
Popular Providers
-
Silverman, Alan H
9000 W Wisconsin Ave Pediatric Gastroenterology, Milwaukee WI 53226-4874 -
Eberhage, Mark Gerhard
1532 E Belleview Pl , Milwaukee WI 53211-3956 -
Taylor, Mary Lou
Froedtert & Med College Clin - East 9200 West Wisconsin Avenue, Milwaukee WI 53226 -
Apps, Jennifer N
9000 W Wisconsin Ave Pediatric Neuropsychology, Milwaukee WI 53226-4874 -
Graham, Sandra E
10533 W National Ave Suite 300, Milwaukee WI 53227-2041 -
Cogwell Anderson, Rebecca C
959 N Mayfair Rd Mcw Pain Management Clinic, Milwaukee WI 53226-3465 -
Anderson Khan, Kimberly J
9000 W Wisconsin Ave Pediatric Pain Management, Milwaukee WI 53226-4874 -
Bischmann, Dori Ann
2015 E Newport Ave #409, Milwaukee WI 53211-2984