Zank, Brooke D
Zank, Brooke D is an individual health care provider with primary practice located at 571 County Road A , Green Lake WI 54941-8630. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Zank, Brooke D can be contacted via phone (920) 294-4070.Contact Information
Primary practice address
571 County Road A
Green Lake WI 54941-8630
Phone: (920) 294-4070
Fax: (920) 294-4139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7875-125 | Wisconsin |
Profile Details
| NPI number | 1700388782 |
|---|---|
| LBN Legal business name | Zank, Brooke D |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2018 |
| Last updated | Mar 17th, 2021 - about 5 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 | 1700388782 | NPPES |
| Wisconsin | MEDICAID | 100075601 |
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