Schmidt-Peckham, Pamela Anne

Schmidt-Peckham, Pamela Anne is an sole proprietor health care provider with primary practice located at 2301 Sun Valley Dr Suite #209, Delafield WI 53018-2318. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Schmidt-Peckham, Pamela Anne can be contacted via phone (262) 646-8288.

Contact Information

Primary practice address
2301 Sun Valley Dr Suite #209 Delafield WI 53018-2318
Phone: (262) 646-8288
Fax: (262) 646-8255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1661-121 Wisconsin

Profile Details

NPI number 1780606129
LBN Legal business name Schmidt-Peckham, Pamela Anne
Credentials MSW, APSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780606129 NPPES
Wisconsin MEDICAID 43574500

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