Santiago, Laura Carolina

Santiago, Laura Carolina is an individual health care provider with primary practice located at 2266 N Prospect Ave 4Th Floor, Milwaukee WI 53211. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Santiago, Laura Carolina can be contacted via phone (414) 962-1200.

Contact Information

Primary practice address
2266 N Prospect Ave 4Th Floor Milwaukee WI 53211
Phone: (414) 962-1200
Fax: (414) 962-2305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 10796132 Wisconsin

Profile Details

NPI number 1942499827
LBN Legal business name Santiago, Laura Carolina
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 2007 - 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 1942499827 NPPES
Wisconsin Other 10796132 CSAC DEPT OF REGULATION
Wisconsin MEDICAID 39387400 CSAC DEPT OF REGULATION

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