Shaker, Brienne A
Shaker, Brienne A is an sole proprietor health care provider with primary practice located at 571 Braund St , Onalaska WI 54650. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shaker, Brienne A can be contacted via phone (608) 785-7000.Contact Information
Primary practice address
571 Braund St
Onalaska WI 54650
Phone: (608) 785-7000
Fax: (608) 785-7477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9391-123 | Wisconsin |
Profile Details
| NPI number | 1255852653 |
|---|---|
| LBN Legal business name | Shaker, Brienne A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2017 |
| Last updated | Oct 19th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255852653 | NPPES |
| Wisconsin | MEDICAID | 100068761 |
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