Anderson, Stephen L
Anderson, Stephen L is an individual health care provider with primary practice located at 1032 S 16Th St Suite 219, Milwaukee WI 53204. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Stephen L can be contacted via phone (414) 672-3145.Contact Information
Primary practice address
1032 S 16Th St Suite 219
Milwaukee WI 53204
Phone: (414) 672-3145
Fax: (414) 383-5597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 976123 | Wisconsin |
Profile Details
| NPI number | 1891753125 |
|---|---|
| LBN Legal business name | Anderson, Stephen L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Feb 7th, 2017 - about 7 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 | 1891753125 | NPPES |
| Wisconsin | MEDICAID | 39586600 |
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