Kowalke, Avery Reven
Kowalke, Avery Reven is an sole proprietor health care provider with primary practice located at 6400 Gisholt Dr Ste 100 , Monona WI 53713-4800. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kowalke, Avery Reven can be contacted via phone (608) 669-5499.Contact Information
Primary practice address
6400 Gisholt Dr Ste 100
Monona WI 53713-4800
Phone: (608) 669-5499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6438-125 | Wisconsin |
Profile Details
| NPI number | 1568008886 |
|---|---|
| LBN Legal business name | Kowalke, Avery Reven |
| Credentials | LICENSED PROFESSIONA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2019 |
| Last updated | Sep 24th, 2024 - about 2 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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