Magnus, Elizabeth C.

Magnus, Elizabeth C. is an individual health care provider with primary practice located at 1519 Primrose Ln , Janesville WI 53545-0418. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Magnus, Elizabeth C. can be contacted via phone (608) 752-7255.

Contact Information

Primary practice address
1519 Primrose Ln Janesville WI 53545-0418
Phone: (608) 752-7255
Fax: (608) 752-6942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 604 Wisconsin

Profile Details

NPI number 1104842467
LBN Legal business name Magnus, Elizabeth C.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 9th, 2007 - about 19 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 1104842467 NPPES
Wisconsin MEDICAID 39007800

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