Lafountain, Robert Kevin

Lafountain, Robert Kevin is an individual health care provider with primary practice located at 2500 Hall Ave , Marinette WI 54143-1604. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lafountain, Robert Kevin can be contacted via phone (715) 732-7760.

Contact Information

Primary practice address
2500 Hall Ave Marinette WI 54143-1604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7110-123 Wisconsin

Profile Details

NPI number 1427030857
LBN Legal business name Lafountain, Robert Kevin
Credentials M.S.W., L.C.S.W
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427030857 NPPES
Wisconsin MEDICAID 40910500

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