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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962487116 NPPES
Wisconsin MEDICAID 41002900

Popular Providers