Mohapp, Mark Joseph
Mohapp, Mark Joseph is an sole proprietor health care provider with primary practice located at 1271 Wisconsin St B, Lake Geneva WI 53147-1748. He 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mohapp, Mark Joseph can be contacted via phone (262) 215-0826.Contact Information
Primary practice address
1271 Wisconsin St B
Lake Geneva WI 53147-1748
Phone: (262) 215-0826
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2019 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 116-123 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.004395 | Illinois |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2019-132 | Wisconsin |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 7099-135 | Wisconsin |
Profile Details
| NPI number | 1861487647 |
|---|---|
| LBN Legal business name | Mohapp, Mark Joseph |
| Credentials | LCSW, CSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Mar 13th, 2013 - about 11 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 | 1861487647 | NPPES |
| Other | 137909000 | MAGELLAN BID HEALTH | |
| Other | 39269100 | MAGELLAN BID HEALTH | |
| Other | 39269100 | MAGELLAN BID HEALTH | |
| Other | 10670 | MAGELLAN BID HEALTH | |
| Other | 60158 | MAGELLAN BID HEALTH | |
| Other | A917403 | MAGELLAN BID HEALTH | |
| MEDICAID | 39269100 | MAGELLAN BID HEALTH |
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