Lavarda, Eric L
Lavarda, Eric L is an individual health care provider with primary practice located at 301 E Saint Joseph St , Green Bay WI 54301-2241. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Lavarda, Eric L can be contacted via phone (920) 433-6073.Contact Information
Primary practice address
301 E Saint Joseph St
Green Bay WI 54301-2241
Phone: (920) 433-6073
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1962487116 |
|---|---|
| LBN Legal business name | Lavarda, Eric L |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Apr 10th, 2009 - about 15 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 | 1962487116 | NPPES |
| Wisconsin | MEDICAID | 41002900 |
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