Holtz, Casey A
Holtz, Casey A is an sole proprietor health care provider with primary practice located at 17100 W North Ave Suite 100, Brookfield WI 53005-4436. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Holtz, Casey A can be contacted via phone (262) 786-9184.Contact Information
Primary practice address
17100 W North Ave Suite 100
Brookfield WI 53005-4436
Phone: (262) 786-9184
Fax: (262) 786-1906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4444-125 | Wisconsin |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 594-226 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2962-57 | Wisconsin |
Profile Details
| NPI number | 1295040988 |
|---|---|
| LBN Legal business name | Holtz, Casey A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2010 |
| Last updated | Apr 10th, 2013 - about 11 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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