Bellg, Albert John
Bellg, Albert John is an sole proprietor health care provider with primary practice located at 1620 S Lawe St , Appleton WI 54915-2400. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bellg, Albert John can be contacted via phone (920) 996-0887.Contact Information
Primary practice address
1620 S Lawe St
Appleton WI 54915-2400
Phone: (920) 996-0887
Fax: (920) 799-4714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2382-057 | Wisconsin |
Profile Details
| NPI number | 1821048943 |
|---|---|
| LBN Legal business name | Bellg, Albert John |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Jun 6th, 2013 - about 11 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 | 1821048943 | NPPES |
| Wisconsin | MEDICAID | 39136800 |
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