Christensen, Conrad Victor
Christensen, Conrad Victor is an sole proprietor health care provider with primary practice located at 10696 Park Ln , Marshfield WI 54449-9594. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Christensen, Conrad Victor can be contacted via phone (715) 305-5113.Contact Information
Primary practice address
10696 Park Ln
Marshfield WI 54449-9594
Phone: (715) 305-5113
Fax: (715) 223-1611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 289-57 | Wisconsin |
Profile Details
| NPI number | 1659797009 |
|---|---|
| LBN Legal business name | Christensen, Conrad Victor |
| Credentials | PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2014 |
| Last updated | Mar 10th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659797009 | NPPES |
| Wisconsin | MEDICAID | 39064000 |
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