Habrel, Eric
Habrel, Eric is an sole proprietor health care provider with primary practice located at 2511 N 124Th St Suite 106, Brookfield WI 53005-4622. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Habrel, Eric can be contacted via phone (262) 641-4347.Contact Information
Primary practice address
2511 N 124Th St Suite 106
Brookfield WI 53005-4622
Phone: (262) 641-4347
Fax: (262) 641-4350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1316-057 | Wisconsin |
Profile Details
| NPI number | 1568452423 |
|---|---|
| LBN Legal business name | Habrel, Eric |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2005 |
| Last updated | May 26th, 2016 - about 8 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 | 1568452423 | NPPES |
| Wisconsin | MEDICAID | 39200400 |
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