Garbelman, Jeffrey L

Garbelman, Jeffrey L is an individual health care provider with primary practice located at 108 N Lincoln Ave , Beaver Dam WI 53916. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Garbelman, Jeffrey L can be contacted via phone (920) 887-8751.

Contact Information

Primary practice address
108 N Lincoln Ave Beaver Dam WI 53916
Phone: (920) 887-8751
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3643125 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2736057 Wisconsin

Profile Details

NPI number 1235161373
LBN Legal business name Garbelman, Jeffrey L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 12th, 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 1235161373 NPPES
Wisconsin MEDICAID 41001600

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