Mckay, Mary M
Mckay, Mary M is an individual health care provider with primary practice located at 301 E Saint Joseph St , Green Bay WI 54301-2241. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mckay, Mary M can be contacted via phone (920) 433-3630.Contact Information
Primary practice address
301 E Saint Joseph St
Green Bay WI 54301-2241
Phone: (920) 433-3630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11588 | Wisconsin |
Profile Details
| NPI number | 1114135167 |
|---|---|
| LBN Legal business name | Mckay, Mary M |
| Credentials | CADC LLL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1114135167 | NPPES |
| Wisconsin | MEDICAID | 39392300 |
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