Anderson, William J P

Anderson, William J P 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 / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Anderson, William J P can be contacted via phone (715) 485-8862.

Contact Information

Primary practice address
100 Polk County Plz Suite 50 Balsam Lake WI 54810-9071
Phone: (715) 485-8862
Fax: (715) 485-8490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1255 132 Wisconsin

Profile Details

NPI number 1316160385
LBN Legal business name Anderson, William J P
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 9th, 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 1316160385 NPPES
Wisconsin MEDICAID 39344200
Wisconsin Other 663731049156

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