Klatt, Ronald

Klatt, Ronald is an individual health care provider with primary practice located at 459 E 1St St , Fond Du Lac WI 54935-4505. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Klatt, Ronald can be contacted via phone (920) 929-7042.

Contact Information

Primary practice address
459 E 1St St Fond Du Lac WI 54935-4505
Phone: (920) 929-7042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1299-125 Wisconsin

Profile Details

NPI number 1215152541
LBN Legal business name Klatt, Ronald
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jan 22nd, 2008 - about 16 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 1215152541 NPPES
Wisconsin MEDICAID 39664700

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