Gillette, Robert J

Gillette, Robert J is an individual health care provider with primary practice located at 2005 Highland Ave , Eau Claire WI 54701-4455. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gillette, Robert J can be contacted via phone (715) 832-5454.

Contact Information

Primary practice address
2005 Highland Ave Eau Claire WI 54701-4455
Phone: (715) 832-5454
Fax: (715) 832-2991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1308125 Wisconsin

Profile Details

NPI number 1831156256
LBN Legal business name Gillette, Robert J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated May 6th, 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 1831156256 NPPES
Wisconsin MEDICAID 39642100
Wisconsin Other 6206017
Wisconsin Other 31B54GI
Wisconsin Other 637871026349
Wisconsin Other HP38900
Wisconsin Other 6206017
Wisconsin Other 6206017
Wisconsin Other 33684

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