Madison, Annette E

Madison, Annette E is an sole proprietor health care provider with primary practice located at 6051 W Brown Deer Rd Suite 106, Brown Deer WI 53223-2263. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Madison, Annette E can be contacted via phone (414) 354-1030.

Contact Information

Primary practice address
6051 W Brown Deer Rd Suite 106 Brown Deer WI 53223-2263
Fax: (414) 354-7584
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7034-123 Wisconsin

Profile Details

NPI number 1104973361
LBN Legal business name Madison, Annette E
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 3rd, 2014 - about 12 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 1104973361 NPPES
Wisconsin MEDICAID 41003900

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