Warren, Eileen G
Warren, Eileen G is an individual health care provider with primary practice located at 6501 3Rd Ave , Kenosha WI 53143-5111. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Warren, Eileen G can be contacted via phone (262) 456-4780.Contact Information
Primary practice address
6501 3Rd Ave
Kenosha WI 53143-5111
Phone: (262) 456-4780
Fax: (262) 456-4780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11581 - 134 AND2103 | Wisconsin |
Profile Details
| NPI number | 1609076322 |
|---|---|
| LBN Legal business name | Warren, Eileen G |
| Credentials | MS, CSAC - ICS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Aug 1st, 2013 - about 12 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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