Marko, Justin J.

Marko, Justin J. is an individual health care provider with primary practice located at 15 W Milwaukee St Suite 207, Janesville WI 53548-2998. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Marko, Justin J. can be contacted via phone (608) 755-1475.

Contact Information

Primary practice address
15 W Milwaukee St Suite 207 Janesville WI 53548-2998
Phone: (608) 755-1475
Fax: (608) 755-1733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4580-125 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15330-132 Wisconsin

Profile Details

NPI number 1841495215
LBN Legal business name Marko, Justin J.
Credentials MS, LPC, CSAC, ICS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Apr 30th, 2015 - about 11 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 1841495215 NPPES
Wisconsin MEDICAID 42247900

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