Inderbitzen, Sean M.

Inderbitzen, Sean M. is an individual health care provider with primary practice located at 105 West Ave , Rice Lake WI 54868-1362. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Inderbitzen, Sean M. can be contacted via phone (715) 736-5437.

Contact Information

Primary practice address
105 West Ave Rice Lake WI 54868-1362
Phone: (715) 736-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 131408-121 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9894 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 131408 Wisconsin

Profile Details

NPI number 1487219838
LBN Legal business name Inderbitzen, Sean M.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2019
Last updated Sep 15th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487219838 NPPES
Wisconsin MEDICAID 100087784

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