Beitzel, Lee R

Beitzel, Lee R is an individual health care provider with primary practice located at 600 E Mason St Suite 401, Milwaukee WI 53202-3870. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Beitzel, Lee R can be contacted via phone (414) 224-3737.

Contact Information

Primary practice address
600 E Mason St Suite 401 Milwaukee WI 53202-3870
Phone: (414) 224-3737
Fax: (414) 224-3725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1020-123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 321-124 Wisconsin

Profile Details

NPI number 1780609636
LBN Legal business name Beitzel, Lee R
Credentials LCSW, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 28th, 2008 - 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 1780609636 NPPES
Wisconsin MEDICAID 39558500

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