Grosskurth, Andrea Linette
Grosskurth, Andrea Linette is an sole proprietor health care provider with primary practice located at 6809 122Nd Ave , Kenosha WI 53142-7335. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grosskurth, Andrea Linette can be contacted via phone (262) 652-5522.Contact Information
Primary practice address
6809 122Nd Ave
Kenosha WI 53142-7335
Phone: (262) 652-5522
Fax: (262) 652-7228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8609 | Wisconsin |
Profile Details
| NPI number | 1497016752 |
|---|---|
| LBN Legal business name | Grosskurth, Andrea Linette |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2012 |
| Last updated | Nov 23rd, 2020 - about 6 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 | 1497016752 | NPPES |
| Wisconsin | MEDICAID | 1497016752 |
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