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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427030857 | NPPES |
Wisconsin | MEDICAID | 40910500 |
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