Knight, Angela M

Knight, Angela M is an sole proprietor health care provider with primary practice located at 620 S 76Th St , Milwaukee WI 53214-1599. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Knight, Angela M can be contacted via phone (414) 453-1400.

Contact Information

Primary practice address
620 S 76Th St Milwaukee WI 53214-1599
Phone: (414) 453-1400
Fax: (414) 453-2538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8546-123 Wisconsin

Profile Details

NPI number 1700147162
LBN Legal business name Knight, Angela M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2012
Last updated Feb 1st, 2017 - about 9 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 1700147162 NPPES
Wisconsin MEDICAID 1700147162

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