Trout, Carol Grace
Trout, Carol Grace is an individual health care provider with primary practice located at 3900 W Brown Deer Rd Suite 200, Brown Deer WI 53209. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Trout, Carol Grace can be contacted via phone (414) 540-2170.Contact Information
Primary practice address
3900 W Brown Deer Rd Suite 200
Brown Deer WI 53209
Phone: (414) 540-2170
Fax: (414) 540-2171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7269123 | Wisconsin |
Profile Details
| NPI number | 1649359308 |
|---|---|
| LBN Legal business name | Trout, Carol Grace |
| Credentials | LCSW 7269123 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649359308 | NPPES |
| Wisconsin | MEDICAID | 41003500 |
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