Kaniszewski, Maria
Kaniszewski, Maria is an sole proprietor health care provider with primary practice located at 2715 S Townline Rd , Houghton Lake MI 48629-9294. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Kaniszewski, Maria can be contacted via phone (989) 366-1118.Contact Information
Primary practice address
2715 S Townline Rd
Houghton Lake MI 48629-9294
Phone: (989) 366-1118
Fax: (989) 366-9420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | L1764585 | Michigan |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | L1815378 | Michigan |
Profile Details
| NPI number | 1740599216 |
|---|---|
| LBN Legal business name | Kaniszewski, Maria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2010 |
| Last updated | Oct 1st, 2010 - about 16 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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