Pofahl, Margaret Ann

Pofahl, Margaret Ann is an individual health care provider with primary practice located at 500 Elm Grove Rd , Elm Grove WI 53122. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pofahl, Margaret Ann can be contacted via phone (262) 782-2090.

Contact Information

Primary practice address
500 Elm Grove Rd Elm Grove WI 53122
Fax: (262) 782-2092
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 203123 Wisconsin

Profile Details

NPI number 1639225758
LBN Legal business name Pofahl, Margaret Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated May 14th, 2013 - about 13 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 1639225758 NPPES
Wisconsin MEDICAID 39565300

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