Begos, Diane Marie

Begos, Diane Marie is an individual health care provider with primary practice located at 1501 Airport Rd , Waukesha WI 53188-2461. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Begos, Diane Marie can be contacted via phone (262) 896-8044.

Contact Information

Primary practice address
1501 Airport Rd Waukesha WI 53188-2461
Phone: (262) 896-8044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12592 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 3515-125 Wisconsin

Profile Details

NPI number 1972667475
LBN Legal business name Begos, Diane Marie
Credentials LPC, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972667475 NPPES
Wisconsin MEDICAID 39734900

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