Bengsch, Kevin

Bengsch, Kevin is an individual health care provider with primary practice located at 1800 S Lawe St , Appleton WI 54915-2473. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Bengsch, Kevin can be contacted via phone (920) 268-1998.

Contact Information

Primary practice address
1800 S Lawe St Appleton WI 54915-2473
Phone: (920) 268-1998
Fax: (706) 826-2771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1275233439
LBN Legal business name Bengsch, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2023
Last updated Mar 7th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275233439 NPPES
Wisconsin MEDICAID 100228123

Popular Providers