Pushkash, Mark
Pushkash, Mark is an individual health care provider with primary practice located at 1545 S Layton Blvd Suite 307, Milwaukee WI 53215-1924. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pushkash, Mark can be contacted via phone (414) 217-2858.Contact Information
Primary practice address
1545 S Layton Blvd Suite 307
Milwaukee WI 53215-1924
Phone: (414) 217-2858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 908 | Wisconsin |
Profile Details
| NPI number | 1366497851 |
|---|---|
| LBN Legal business name | Pushkash, Mark |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1366497851 | NPPES |
| Wisconsin | MEDICAID | 39038000 |
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