Parker, Teresa

Parker, Teresa is an individual health care provider with primary practice located at 707 14Th St , Baraboo WI 53913-1539. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Parker, Teresa can be contacted via phone (608) 356-1400.

Contact Information

Primary practice address
707 14Th St Baraboo WI 53913-1539
Phone: (608) 356-1400
Fax: (608) 356-1568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1578523106
LBN Legal business name Parker, Teresa
Credentials MSW, CICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 9th, 2007 - about 17 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 1578523106 NPPES
Wisconsin Other 10263 DEANCARE PROV #
Wisconsin MEDICAID 39640600 DEANCARE PROV #
Wisconsin Other 1011377 DEANCARE PROV #
Wisconsin Other 391023846-10 DEANCARE PROV #

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