Larsonkerkman, Kerrie Jo
Larsonkerkman, Kerrie Jo is an sole proprietor health care provider with primary practice located at 1531 S Madison St , Appleton WI 54915-1800. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Larsonkerkman, Kerrie Jo can be contacted via phone (920) 738-2000.Contact Information
Primary practice address
1531 S Madison St
Appleton WI 54915-1800
Phone: (920) 738-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2153-132 | Wisconsin |
Profile Details
| NPI number | 1407045966 |
|---|---|
| LBN Legal business name | Larsonkerkman, Kerrie Jo |
| Credentials | CSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2007 |
| Last updated | Feb 15th, 2019 - about 6 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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