Briceno, Patricia K

Briceno, Patricia K is an individual health care provider with primary practice located at 3970 N Oakland Ave Lakeshore Clinic Suite 502, Milwaukee WI 53211. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Briceno, Patricia K can be contacted via phone (414) 962-9909.

Contact Information

Primary practice address
3970 N Oakland Ave Lakeshore Clinic Suite 502 Milwaukee WI 53211
Fax: (414) 332-8596
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1965123 Wisconsin

Profile Details

NPI number 1235209875
LBN Legal business name Briceno, Patricia K
Credentials MS LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 23rd, 2007 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235209875 NPPES
Wisconsin MEDICAID 39676000

Popular Providers