Peerenboom, Katy

Peerenboom, Katy is an individual health care provider with primary practice located at 124 Grayside Ave , Mauston WI 53948-1913. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peerenboom, Katy can be contacted via phone (608) 350-1135.

Contact Information

Primary practice address
124 Grayside Ave Mauston WI 53948-1913
Phone: (608) 350-1135
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1720557580
LBN Legal business name Peerenboom, Katy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2018
Last updated Nov 21st, 2018 - about 6 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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