Morrison, Mark Alan

Morrison, Mark Alan is an individual health care provider with primary practice located at 11518 N Port Washington Rd Ste 202 , Mequon WI 53092-3443. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Morrison, Mark Alan can be contacted via phone (847) 962-7917.

Contact Information

Primary practice address
11518 N Port Washington Rd Ste 202 Mequon WI 53092-3443
Fax: (262) 299-3040
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4252123 Wisconsin

Profile Details

NPI number 1982614798
LBN Legal business name Morrison, Mark Alan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Apr 23rd, 2020 - about 5 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 1982614798 NPPES
Wisconsin MEDICAID 43742200

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