Krueger, Mari Ann

Krueger, Mari Ann is an individual health care provider with primary practice located at 404 N Main St Ste 612 , Oshkosh WI 54901-4953. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Registered Nurse, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Krueger, Mari Ann can be contacted via phone (920) 385-1420.

Contact Information

Primary practice address
404 N Main St Ste 612 Oshkosh WI 54901-4953
Phone: (920) 385-1420
Fax: (866) 327-3295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3465 125 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 106595030 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 3465 125 Wisconsin

Profile Details

NPI number 1073640736
LBN Legal business name Krueger, Mari Ann
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Dec 15th, 2021 - about 5 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 1073640736 NPPES
Wisconsin MEDICAID 43595200

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