Marcott, Amy L
Marcott, Amy L is an individual health care provider with primary practice located at 1202 Callon St , Wausau WI 54402-1702. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Marcott, Amy L can be contacted via phone (715) 845-5493.Contact Information
Primary practice address
1202 Callon St
Wausau WI 54402-1702
Phone: (715) 845-5493
Fax: (715) 848-5645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3223 | Wisconsin |
Profile Details
| NPI number | 1952421117 |
|---|---|
| LBN Legal business name | Marcott, Amy L |
| Credentials | MA.ED. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | May 4th, 2011 - about 13 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 | 1952421117 | NPPES |
| Wisconsin | MEDICAID | 40937300 |
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