Czech, Molly Patricia Dillon
Czech, Molly Patricia Dillon is an sole proprietor health care provider with primary practice located at 2829 Royal Ave Suite 200, Monona WI 53713-1535. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Czech, Molly Patricia Dillon can be contacted via phone (608) 661-2829.Contact Information
Primary practice address
2829 Royal Ave Suite 200
Monona WI 53713-1535
Phone: (608) 661-2829
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 128282-121 | Wisconsin |
Profile Details
| NPI number | 1720411101 |
|---|---|
| LBN Legal business name | Czech, Molly Patricia Dillon |
| Credentials | MSW, APSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2013 |
| Last updated | Apr 11th, 2017 - about 9 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 | 1720411101 | NPPES |
| Wisconsin | MEDICAID | 1720411101 |
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