Mak, Samkhann

Mak, Samkhann is an individual health care provider with primary practice located at 300 Femrite Dr , Monona WI 53716-3716. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Mak, Samkhann can be contacted via phone (608) 755-5260.

Contact Information

Primary practice address
300 Femrite Dr Monona WI 53716-3716
Phone: (608) 755-5260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1928 Wisconsin
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3049 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 3049 Wisconsin

Profile Details

NPI number 1750307815
LBN Legal business name Mak, Samkhann
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Nov 2nd, 2021 - about 4 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 1750307815 NPPES
Wisconsin MEDICAID 1750307815

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