Bestor, Linda

Bestor, Linda is an individual health care provider with primary practice located at 2108 63Rd St , Kenosha WI 53143-4454. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bestor, Linda can be contacted via phone (262) 652-2406.

Contact Information

Primary practice address
2108 63Rd St Kenosha WI 53143-4454
Phone: (262) 652-2406
Fax: (262) 652-2408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1665-125 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15341-131 Wisconsin

Profile Details

NPI number 1518079631
LBN Legal business name Bestor, Linda
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 30th, 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 1518079631 NPPES
Wisconsin MEDICAID 40975800

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