King, Robert Paul
King, Robert Paul is an sole proprietor health care provider with primary practice located at 10045 W Lisbon Ave 221, Wauwatosa WI 53222-2446. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. King, Robert Paul can be contacted via phone (414) 358-7144.Contact Information
Primary practice address
10045 W Lisbon Ave 221
Wauwatosa WI 53222-2446
Phone: (414) 358-7144
Fax: (414) 358-7158
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1207-057 | Wisconsin |
Profile Details
NPI number | 1619054996 |
---|---|
LBN Legal business name | King, Robert Paul |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 1st, 2006 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619054996 | NPPES |
Wisconsin | MEDICAID | 39152900 |
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