Marchese, Kristin

Marchese, Kristin is an individual health care provider with primary practice located at 4109 67Th St , Kenosha WI 53142-3836. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Marchese, Kristin can be contacted via phone (262) 652-9830.

Contact Information

Primary practice address
4109 67Th St Kenosha WI 53142-3836
Phone: (262) 652-9830
Fax: (262) 652-2931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14123 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 4095-125 Wisconsin

Profile Details

NPI number 1437170602
LBN Legal business name Marchese, Kristin
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Oct 2nd, 2008 - about 16 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 1437170602 NPPES
Wisconsin MEDICAID 43742500

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