Churm, Cynthia

Churm, Cynthia is an sole proprietor health care provider with primary practice located at 2500 Hall Ave Suite A, Marinette WI 54143-1604. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Churm, Cynthia can be contacted via phone (715) 732-7700.

Contact Information

Primary practice address
2500 Hall Ave Suite A Marinette WI 54143-1604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6593-123 Wisconsin

Profile Details

NPI number 1447451208
LBN Legal business name Churm, Cynthia
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Jan 31st, 2008 - about 17 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 1447451208 NPPES
Wisconsin MEDICAID 39754100

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