Gerndt, James K

Gerndt, James K is an individual health care provider with primary practice located at 6300 University Ave Suite 25, Middleton WI 53562-3463. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gerndt, James K can be contacted via phone (608) 237-8000.

Contact Information

Primary practice address
6300 University Ave Suite 25 Middleton WI 53562-3463
Phone: (608) 237-8000
Fax: (608) 237-8005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1249-057 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1249-057 Wisconsin

Profile Details

NPI number 1174544746
LBN Legal business name Gerndt, James K
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 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 1174544746 NPPES
Wisconsin MEDICAID 39201000

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