Engleson, Steven A

Engleson, Steven A is an individual health care provider with primary practice located at 1500 N 34Th St Suite 200, Superior WI 54880-4477. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Engleson, Steven A can be contacted via phone (715) 392-8216.

Contact Information

Primary practice address
1500 N 34Th St Suite 200 Superior WI 54880-4477
Fax: (715) 392-6055
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2216-123 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 1283-125 Wisconsin

Profile Details

NPI number 1699871756
LBN Legal business name Engleson, Steven A
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Sep 15th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699871756 NPPES
Wisconsin MEDICAID 39198700

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