Staley, Claire A

Staley, Claire A 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 / Social Worker, which is considered as her primary health care specialty. Staley, Claire A 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:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 131327 Wisconsin

Profile Details

NPI number 1164086112
LBN Legal business name Staley, Claire A
Credentials APSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2019
Last updated Apr 25th, 2019 - about 7 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 1164086112 NPPES
Wisconsin Other 131327-121 APSW LICENSE

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