Behnke, Miranda May
Behnke, Miranda May is an individual health care provider with primary practice located at 1409 Cleveland Ave , Marinette WI 54143-3918. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Behnke, Miranda May can be contacted via phone (715) 735-0095.Contact Information
Primary practice address
1409 Cleveland Ave
Marinette WI 54143-3918
Phone: (715) 735-0095
Fax: (715) 735-0094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 9668-120 | Wisconsin |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 18736-130 | Wisconsin |
Profile Details
| NPI number | 1508881772 |
|---|---|
| LBN Legal business name | Behnke, Miranda May |
| Credentials | LBSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Nov 20th, 2019 - about 7 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 | 1508881772 | NPPES |
| Other | 982471046475 | PREFERRED ONE | |
| Other | MB085458 | PREFERRED ONE |
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