Runnion, Michelle M.

Runnion, Michelle M. is an individual health care provider with primary practice located at 6233 39Th Ave , Kenosha WI 53142-7015. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Runnion, Michelle M. can be contacted via phone (262) 654-1004.

Contact Information

Primary practice address
6233 39Th Ave Kenosha WI 53142-7015
Phone: (262) 654-1004
Fax: (262) 654-6960
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12685 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 2989-125 Wisconsin

Profile Details

NPI number 1912117318
LBN Legal business name Runnion, Michelle M.
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jun 30th, 2008 - 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 1912117318 NPPES
Wisconsin MEDICAID 39752900

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