Gaffke, Gregory

Gaffke, Gregory is an individual health care provider with primary practice located at 6416 S Howell Ave , Oak Creek WI 53154-1104. 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 / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gaffke, Gregory can be contacted via phone (414) 762-5429.

Contact Information

Primary practice address
6416 S Howell Ave Oak Creek WI 53154-1104
Phone: (414) 762-5429
Fax: (414) 762-9727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1026 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 193-125 Wisconsin

Profile Details

NPI number 1801817168
LBN Legal business name Gaffke, Gregory
Credentials MS, LPC, CADC III
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Jan 2nd, 2008 - about 16 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 1801817168 NPPES
Wisconsin MEDICAID 39708400

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