Ganschow, Laurence
Ganschow, Laurence is an individual health care provider with primary practice located at 8200 W Brown Deer Rd Suite 300A, Brown Deer WI 53223-1706. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ganschow, Laurence can be contacted via phone (414) 362-8147.Contact Information
Primary practice address
8200 W Brown Deer Rd Suite 300A
Brown Deer WI 53223-1706
Phone: (414) 362-8147
Fax: (414) 362-7198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1736-132 | Wisconsin |
Profile Details
| NPI number | 1588719637 |
|---|---|
| LBN Legal business name | Ganschow, Laurence |
| Credentials | CADC III |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jul 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588719637 | NPPES |
| Wisconsin | MEDICAID | 39370500 |
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