Koeune, Susan M

Koeune, Susan M is an individual health care provider with primary practice located at 501 Park Ave , Oconto WI 54153-1612. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Koeune, Susan M can be contacted via phone (920) 834-7000.

Contact Information

Primary practice address
501 Park Ave Oconto WI 54153-1612
Phone: (920) 834-7000
Fax: (920) 834-6889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6500-120 Wisconsin

Profile Details

NPI number 1023302924
LBN Legal business name Koeune, Susan M
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2011
Last updated Jun 8th, 2011 - about 15 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 1023302924 NPPES
Wisconsin MEDICAID 32980400
Wisconsin MEDICAID 43427200
Wisconsin MEDICAID 43077700

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