O'Connell, Susan B
O'Connell, Susan B is an sole proprietor health care provider with primary practice located at 166 E Geneva Sq , Lake Geneva WI 53147-9694. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. O'Connell, Susan B can be contacted via phone (262) 278-6146.Contact Information
Primary practice address
166 E Geneva Sq
Lake Geneva WI 53147-9694
Phone: (262) 278-6146
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3011-123 | Wisconsin |
Profile Details
| NPI number | 1417046376 |
|---|---|
| LBN Legal business name | O'Connell, Susan B |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Nov 14th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417046376 | NPPES |
| Wisconsin | Other | 391657985019 | ANTHEM BLUE CROSS |
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