Christensen, Jon Robert

Christensen, Jon Robert is an sole proprietor health care provider with primary practice located at 230 W Wells St #411, Milwaukee WI 53203-1866. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Christensen, Jon Robert can be contacted via phone (414) 530-6575.

Contact Information

Primary practice address
230 W Wells St #411 Milwaukee WI 53203-1866
Phone: (414) 530-6575
Fax: (414) 761-4750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 272 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 1128125 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 2402120 Wisconsin

Profile Details

NPI number 1851444749
LBN Legal business name Christensen, Jon Robert
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - 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 1851444749 NPPES
Wisconsin Other 181549 TRICARE
Wisconsin MEDICAID 39209600 TRICARE

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