Bidinger, Kevin Richard

Bidinger, Kevin Richard is an sole proprietor health care provider with primary practice located at 810 W Olin Ave , Madison WI 53715-2142. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Bidinger, Kevin Richard can be contacted via phone (608) 255-5922.

Contact Information

Primary practice address
810 W Olin Ave Madison WI 53715-2142
Phone: (608) 255-5922
Fax: (608) 255-0340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16954-130 Wisconsin
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 16954-130 Wisconsin

Profile Details

NPI number 1730515339
LBN Legal business name Bidinger, Kevin Richard
Credentials SAC-IT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2013
Last updated Sep 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730515339 NPPES
Wisconsin MEDICAID 1417112780

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