Koestler, Philip A

Koestler, Philip A is an individual health care provider with primary practice located at 3119 Golf Rd , Eau Claire WI 54701-7006. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Koestler, Philip A can be contacted via phone (715) 832-1678.

Contact Information

Primary practice address
3119 Golf Rd Eau Claire WI 54701-7006
Fax: (715) 832-6680
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 686-125 Wisconsin
Behavioral Health & Social Service Providers / School 103TS0200X K234000050327 Wisconsin

Profile Details

NPI number 1902812753
LBN Legal business name Koestler, Philip A
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902812753 NPPES
Wisconsin MEDICAID 39285200

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