Slattery, Karen
Slattery, Karen is an individual health care provider with primary practice located at 1100 Lake View Dr , Wausau WI 54403-6785. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Slattery, Karen can be contacted via phone (715) 848-4600.Contact Information
Primary practice address
1100 Lake View Dr
Wausau WI 54403-6785
Phone: (715) 848-4600
Fax: (715) 845-5398
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 949 | Wisconsin |
Nursing Service Providers / Registered Nurse | 163W00000X | 63481-030 | Wisconsin |
Profile Details
NPI number | 1003827163 |
---|---|
LBN Legal business name | Slattery, Karen |
Credentials | CSAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2006 |
Last updated | Apr 15th, 2013 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003827163 | NPPES |
Wisconsin | Other | 949-132 | STATE LICENSE |
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