Kollmansberger, Benno W

Kollmansberger, Benno W is an individual health care provider with primary practice located at 903 Mineral Point Ave , Janesville WI 53548-2970. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kollmansberger, Benno W can be contacted via phone (608) 756-5555.

Contact Information

Primary practice address
903 Mineral Point Ave Janesville WI 53548-2970
Phone: (608) 756-5555
Fax: (608) 756-0174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2065 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 833-125 Wisconsin

Profile Details

NPI number 1578617429
LBN Legal business name Kollmansberger, Benno W
Credentials LCSW, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jun 26th, 2012 - about 13 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 1578617429 NPPES
Wisconsin MEDICAID 39196500
Wisconsin Other KOLLMBEN MO

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