Anderson, Perry J

Anderson, Perry J is an individual health care provider with primary practice located at 100 Polk County Plz Suite 50, Balsam Lake WI 54810-9071. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Anderson, Perry J can be contacted via phone (715) 485-8445.

Contact Information

Primary practice address
100 Polk County Plz Suite 50 Balsam Lake WI 54810-9071
Phone: (715) 485-8445
Fax: (715) 485-8490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6798-123 Wisconsin

Profile Details

NPI number 1457574527
LBN Legal business name Anderson, Perry J
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 2nd, 2010 - about 14 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 1457574527 NPPES
Wisconsin MEDICAID 40930200
Wisconsin Other 1258073
Wisconsin Other 2068111
Wisconsin Other 338871
Wisconsin Other P 12027501
Wisconsin Other 84 81085
Wisconsin Other 373595
Wisconsin Other 37F39PE
Wisconsin Other 1026794

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