Pankratz, James M

Pankratz, James M is an individual health care provider with primary practice located at 2021 N 60Th St , Milwaukee WI 53208-1641. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Pankratz, James M can be contacted via phone (414) 771-2881.

Contact Information

Primary practice address
2021 N 60Th St Milwaukee WI 53208-1641
Phone: (414) 771-2881
Fax: (414) 771-6095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 175-125 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 169124 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 175123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 175-125 Wisconsin

Profile Details

NPI number 1609859495
LBN Legal business name Pankratz, James M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Feb 27th, 2024 - about 2 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 1609859495 NPPES
Wisconsin MEDICAID 39612200

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