Iverson, John Charles
Iverson, John Charles is an sole proprietor health care provider with primary practice located at 500 Riverview Ave , Waukesha WI 53188-3632. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Iverson, John Charles can be contacted via phone (262) 548-7665.Contact Information
Primary practice address
500 Riverview Ave
Waukesha WI 53188-3632
Phone: (262) 548-7665
Fax: (262) 548-7656
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 1323 | Wisconsin |
Profile Details
NPI number | 1497818520 |
---|---|
LBN Legal business name | Iverson, John Charles |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 19th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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