Gorenc, John P
Gorenc, John P is an individual health care provider with primary practice located at 146 E Geneva Sq , Lake Geneva WI 53147. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Gorenc, John P can be contacted via phone (262) 249-4620.Contact Information
Primary practice address
146 E Geneva Sq
Lake Geneva WI 53147
Phone: (262) 249-4620
Fax: (262) 249-7132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 801-123 | Wisconsin |
Profile Details
| NPI number | 1619082682 |
|---|---|
| LBN Legal business name | Gorenc, John P |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619082682 | NPPES |
| Wisconsin | MEDICAID | 40996400 |
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