Haukeness, Pam

Haukeness, Pam is an individual health care provider with primary practice located at 4714 Commerce Valley Rd Suite B, Eau Claire WI 54701-9033. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Haukeness, Pam can be contacted via phone (715) 834-1000.

Contact Information

Primary practice address
4714 Commerce Valley Rd Suite B Eau Claire WI 54701-9033
Phone: (715) 834-1000
Fax: (715) 834-1170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1504 Wisconsin

Profile Details

NPI number 1053468207
LBN Legal business name Haukeness, Pam
Credentials M.S.E., CADC III
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 9th, 2007 - about 19 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 1053468207 NPPES
Wisconsin MEDICAID 39363000

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