Laney, John Clemens
Laney, John Clemens is an sole proprietor health care provider with primary practice located at 12 W Marshall St Suite 100, Rice Lake WI 54868-2741. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Laney, John Clemens can be contacted via phone (715) 234-3301.Contact Information
Primary practice address
12 W Marshall St Suite 100
Rice Lake WI 54868-2741
Phone: (715) 234-3301
Fax: (715) 736-1301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 514 | Wisconsin |
Profile Details
| NPI number | 1912069626 |
|---|---|
| LBN Legal business name | Laney, John Clemens |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2006 |
| Last updated | Jul 8th, 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 | 1912069626 | NPPES |
| Wisconsin | Other | 29144 | SECURITY HEALTH PLAN |
| Wisconsin | MEDICAID | 39059400 | SECURITY HEALTH PLAN |
| Wisconsin | Other | 5066 | SECURITY HEALTH PLAN |
| Wisconsin | Other | 81-285 | SECURITY HEALTH PLAN |
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