Mahoney, K Hawk
Mahoney, K Hawk is an individual health care provider with primary practice located at 721 American Ave Suite 501, Waukesha WI 53188-5071. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mahoney, K Hawk can be contacted via phone (262) 928-2396.Contact Information
Primary practice address
721 American Ave Suite 501
Waukesha WI 53188-5071
Phone: (262) 928-2396
Fax: (262) 544-1213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2029 | Wisconsin |
Profile Details
| NPI number | 1326103854 |
|---|---|
| LBN Legal business name | Mahoney, K Hawk |
| Credentials | CADC III |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 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 | 1326103854 | NPPES |
| Wisconsin | MEDICAID | 39372800 |
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