Carpenter, Laurence John
Carpenter, Laurence John is an individual health care provider with primary practice located at 1715 Dousman St , Green Bay WI 54303-3211. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Carpenter, Laurence John can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
1715 Dousman St
Green Bay WI 54303-3211
Phone: (920) 496-4700
Fax: (920) 496-4705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 98-156 | Wisconsin |
Profile Details
| NPI number | 1407875867 |
|---|---|
| LBN Legal business name | Carpenter, Laurence John |
| Credentials | MS CCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1407875867 | NPPES |
| Wisconsin | MEDICAID | 41119000 |
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