De Boer, Benjamin I

De Boer, Benjamin I is an sole proprietor health care provider with primary practice located at 2824 Frisee Dr , Fitchburg WI 53711. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. De Boer, Benjamin I can be contacted via phone (401) 864-6246.

Contact Information

Primary practice address
2824 Frisee Dr Fitchburg WI 53711
Phone: (401) 864-6246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3452-57 Wisconsin

Profile Details

NPI number 1659057446
LBN Legal business name De Boer, Benjamin I
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2023
Last updated Jun 26th, 2023 - about 2 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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