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 |
Popular Providers
-
Langley, Mervin J
146 E Geneva Sq , Lake Geneva WI 53147-9694 -
Buss, Maureen Gale
N6658 Woodfield Ln , Lake Mills WI 53551-9740 -
Weldgen, Lance W
W3740 S Lakeshore Dr , Lake Geneva WI 53147-3962 -
Luebke, Craig Alan
160 E Geneva Sq , Lake Geneva WI 53147-9694 -
Linden, Laurie Dawn
750 Veterans Pkwy Unit 100 , Lake Geneva WI 53147-4950 -
Carlson, Roberta J
100 Polk County Plz Suite 50, Balsam Lake WI 54810-9071 -
Lafrenz, Duanne
101 Broad St Suite 201, Lake Geneva WI 53147-2000 -
Faltz Bailey, Joanne L
331 S Main St , Rice Lake WI 54868-2253