Quiriconi, Susan I

Quiriconi, Susan I is an individual health care provider with primary practice located at 2901 Hunters Trl , Portage WI 53901-3403. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Quiriconi, Susan I can be contacted via phone (608) 742-5518.

Contact Information

Primary practice address
2901 Hunters Trl Portage WI 53901-3403
Phone: (608) 742-5518
Fax: (608) 742-4087
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 568-122 Wisconsin

Profile Details

NPI number 1013946987
LBN Legal business name Quiriconi, Susan I
Credentials MSW CICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013946987 NPPES
Wisconsin MEDICAID 39581500

Popular Providers