Smith, Mary Elisabeth
Smith, Mary Elisabeth is an individual health care provider with primary practice located at 150 N Sunny Slope Rd Suite #100, Brookfield WI 53005-4806. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Smith, Mary Elisabeth can be contacted via phone (262) 432-5660.Contact Information
Primary practice address
150 N Sunny Slope Rd Suite #100
Brookfield WI 53005-4806
Phone: (262) 432-5660
Fax: (262) 432-5666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 83-140 | Wisconsin |
Profile Details
| NPI number | 1114337995 |
|---|---|
| LBN Legal business name | Smith, Mary Elisabeth |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2014 |
| Last updated | May 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114337995 | NPPES |
| Wisconsin | Other | 83-140 | BA LICENSE |
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