Mcaninch, Susan J

Mcaninch, Susan J is an individual health care provider with primary practice located at 20 S 1St Ave , Sturgeon Bay WI 54235-2546. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcaninch, Susan J can be contacted via phone (920) 746-0162.

Contact Information

Primary practice address
20 S 1St Ave Sturgeon Bay WI 54235-2546
Fax: (920) 746-0140
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6742-123 Wisconsin

Profile Details

NPI number 1124007349
LBN Legal business name Mcaninch, Susan J
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124007349 NPPES
Wisconsin MEDICAID 43569800

Popular Providers