Hristov, Ivaylo

Hristov, Ivaylo is an sole proprietor health care provider with primary practice located at 4465 N Oakland Ave Unit 310 , Shorewood WI 53211-1662. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hristov, Ivaylo can be contacted via phone (530) 574-6855.

Contact Information

Primary practice address
4465 N Oakland Ave Unit 310 Shorewood WI 53211-1662
Phone: (530) 574-6855
Fax: (414) 755-7772
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW 17168 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7835-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW27688 California

Profile Details

NPI number 1255405320
LBN Legal business name Hristov, Ivaylo
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jan 31st, 2019 - about 6 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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