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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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