Briggs, John R

Briggs, John R is an sole proprietor health care provider with primary practice located at 1095 Midway Rd , Menasha WI 54952-1115. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Briggs, John R can be contacted via phone (920) 720-2300.

Contact Information

Primary practice address
1095 Midway Rd Menasha WI 54952-1115
Phone: (920) 720-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1983-057 Wisconsin

Profile Details

NPI number 1578620761
LBN Legal business name Briggs, John R
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Dec 5th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578620761 NPPES
Wisconsin Other 1983-057 LICENSED PSYCHOLOGIST
Wisconsin MEDICAID 42216200 LICENSED PSYCHOLOGIST
Wisconsin Other 1487701645 LICENSED PSYCHOLOGIST
Wisconsin Other 1578620761 LICENSED PSYCHOLOGIST
Wisconsin MEDICAID 39128000 LICENSED PSYCHOLOGIST

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