Hamann, John B
Hamann, John B is an individual health care provider with primary practice located at 258 Riverside Dr , River Falls WI 54022-3236. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Adult Development & Aging is his primary health care specialty. Hamann, John B can be contacted via phone (715) 425-7031.Contact Information
Primary practice address
258 Riverside Dr
River Falls WI 54022-3236
Phone: (715) 425-7031
Fax: (715) 425-1055
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 371-057 | Wisconsin |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 371-057 | Wisconsin |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 371-057 | Wisconsin |
Profile Details
NPI number | 1427168079 |
---|---|
LBN Legal business name | Hamann, John B |
Credentials | ED D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 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 | 1427168079 | NPPES |
Wisconsin | MEDICAID | 39062200 | |
Wisconsin | Other | 19G68HA |
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