Prohuska, Nicole

Prohuska, Nicole is an individual health care provider with primary practice located at 121 W Main St , Port Washington WI 53074-1813. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Prohuska, Nicole can be contacted via phone (262) 284-8164.

Contact Information

Primary practice address
121 W Main St Port Washington WI 53074-1813
Fax: (262) 284-8104
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 826-121 Wisconsin

Profile Details

NPI number 1578967147
LBN Legal business name Prohuska, Nicole
Credentials APSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2014
Last updated Oct 10th, 2014 - about 11 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 1578967147 NPPES
Wisconsin Other 826-121 LICENSE

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