Elmergreen, Dennis Dean

Elmergreen, Dennis Dean is an individual health care provider with primary practice located at W12802 County Road A , Bowler WI 54416-9551. He recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as his primary health care specialty. Elmergreen, Dennis Dean can be contacted via phone (715) 793-4144.

Contact Information

Primary practice address
W12802 County Road A Bowler WI 54416-9551
Phone: (715) 793-4144
Fax: (715) 793-4120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X 1260-057 Wisconsin

Profile Details

NPI number 1922172675
LBN Legal business name Elmergreen, Dennis Dean
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
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 1922172675 NPPES
Wisconsin MEDICAID 39200800

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