Dati, David

Dati, David is an individual health care provider with primary practice located at 16798 Gault Valley Rd , Hillsboro WI 54634-3375. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Dati, David can be contacted via phone (608) 627-1221.

Contact Information

Primary practice address
16798 Gault Valley Rd Hillsboro WI 54634-3375
Phone: (608) 627-1221
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2507-123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 350-124 Wisconsin

Profile Details

NPI number 1346381241
LBN Legal business name Dati, David
Credentials L.C.S.W., L.M.F.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Mar 20th, 2017 - about 8 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 1346381241 NPPES
Wisconsin MEDICAID 39617300

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