Mahan, Karen A
Mahan, Karen A is an individual health care provider with primary practice located at 925 Elm Grove Rd , Elm Grove WI 53122-2572. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mahan, Karen A can be contacted via phone (262) 490-5465.Contact Information
Primary practice address
925 Elm Grove Rd
Elm Grove WI 53122-2572
Phone: (262) 490-5465
Fax: (262) 720-7743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4346123 | Wisconsin |
Profile Details
| NPI number | 1053461079 |
|---|---|
| LBN Legal business name | Mahan, Karen A |
| Credentials | LCSW MSW 4346123 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Oct 12th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053461079 | NPPES |
| Wisconsin | Other | 4346123 | LCSW |
| Wisconsin | MEDICAID | 43585500 | LCSW |
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