Preston, Christine

Preston, Christine is an sole proprietor health care provider with primary practice located at S2845 White Eagle Rd , Baraboo WI 53913. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Preston, Christine can be contacted via phone (608) 355-1240.

Contact Information

Primary practice address
S2845 White Eagle Rd Baraboo WI 53913
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8652 Wisconsin

Profile Details

NPI number 1104248160
LBN Legal business name Preston, Christine
Credentials MWWS, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2014
Last updated Feb 1st, 2022 - about 2 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 1104248160 NPPES
Wisconsin MEDICAID 100035224

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