Abts, Clayton Edward
Abts, Clayton Edward is an individual health care provider with primary practice located at 300 Crooks Street , Green Bay WI 54301. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Abts, Clayton Edward can be contacted via phone (920) 436-6800.Contact Information
Primary practice address
300 Crooks Street
Green Bay WI 54301
Phone: (920) 436-6800
Fax: (920) 432-5966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3754125 | Wisconsin |
Profile Details
| NPI number | 1043305154 |
|---|---|
| LBN Legal business name | Abts, Clayton Edward |
| Credentials | MS LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Apr 20th, 2009 - about 16 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 | 1043305154 | NPPES |
| Wisconsin | MEDICAID | 40946300 |
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