Banach, Marybeth

Banach, Marybeth is an sole proprietor health care provider with primary practice located at 510 Hartbrook Dr Ste 201 , Hartland WI 53029-1444. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Banach, Marybeth can be contacted via phone (262) 853-9084.

Contact Information

Primary practice address
510 Hartbrook Dr Ste 201 Hartland WI 53029-1444
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5687-125 Wisconsin

Profile Details

NPI number 1760861413
LBN Legal business name Banach, Marybeth
Credentials MS, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2015
Last updated May 28th, 2015 - about 10 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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