Dorn, Dana Kay
Dorn, Dana Kay is an individual health care provider with primary practice located at 9501 W Watertown Plank Rd , Wauwatosa WI 53226-3552. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dorn, Dana Kay can be contacted via phone (414) 257-3141.Contact Information
Primary practice address
9501 W Watertown Plank Rd
Wauwatosa WI 53226-3552
Phone: (414) 257-3141
Fax: (414) 257-3151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6719-123 | Wisconsin |
Profile Details
| NPI number | 1144493693 |
|---|---|
| LBN Legal business name | Dorn, Dana Kay |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2008 |
| Last updated | Apr 4th, 2008 - about 18 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 | 1144493693 | NPPES |
| Wisconsin | MEDICAID | 39786100 |
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