Christoffersen, Dennis

Christoffersen, Dennis is an individual health care provider with primary practice located at 437 S Yellowstone Drive Suite #218, Madison WI 53719. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Christoffersen, Dennis can be contacted via phone (608) 288-1882.

Contact Information

Primary practice address
437 S Yellowstone Drive Suite #218 Madison WI 53719
Phone: (608) 288-1882
Fax: (608) 288-1892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1985057 Wisconsin

Profile Details

NPI number 1881716447
LBN Legal business name Christoffersen, Dennis
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881716447 NPPES
Wisconsin MEDICAID 39120000

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