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Contact Information

NICHOLAS E MAHONEY
34700 VALLEY RD
OCONOMOWOC, WI53066
 Phone: 262-646-4411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for NICHOLAS E MAHONEY · (Male)

NPI # 1275929051
Status Active
Credentials
Entity Individual
Enumeration date 04/08/2015
Last updated 03/21/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 67052 - 21
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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