Agnew, David F

Agnew, David F is an individual health care provider with primary practice located at 503 Wisconsin Ave , Sheboygan WI 53081-4147. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Agnew, David F can be contacted via phone (920) 458-5726.

Contact Information

Primary practice address
503 Wisconsin Ave Sheboygan WI 53081-4147
Fax: (920) 458-5826
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2784123 Wisconsin

Profile Details

NPI number 1962485755
LBN Legal business name Agnew, David F
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Jul 8th, 2007 - about 17 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 1962485755 NPPES
Wisconsin MEDICAID 39564600

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