Pasika, Shanta M

Pasika, Shanta M is an sole proprietor health care provider with primary practice located at 647 W Main St Ste 900 , Lake Geneva WI 53147-1985. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Pasika, Shanta M can be contacted via phone (262) 806-1467.

Contact Information

Primary practice address
647 W Main St Ste 900 Lake Geneva WI 53147-1985
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 7389 Wisconsin

Profile Details

NPI number 1790469302
LBN Legal business name Pasika, Shanta M
Credentials LPC-IT, SAC-IT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2023
Last updated Jun 14th, 2023 - about last year

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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