Dexter, Barry

Dexter, Barry is an individual health care provider with primary practice located at 1100 Lake View Dr , Wausau WI 54403-6785. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Dexter, Barry can be contacted via phone (715) 848-4600.

Contact Information

Primary practice address
1100 Lake View Dr Wausau WI 54403-6785
Phone: (715) 848-4600
Fax: (715) 845-5398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2087 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 1583-120 Wisconsin

Profile Details

NPI number 1437160447
LBN Legal business name Dexter, Barry
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 15th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437160447 NPPES
Wisconsin Other 1583-120 STATE LICENSE
Wisconsin Other 2087-132 STATE LICENSE

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