Lemon, Walter
Lemon, Walter is an sole proprietor health care provider with primary practice located at 2821 N 4Th St Suite 139, Milwaukee WI 53212-2362. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lemon, Walter can be contacted via phone (414) 264-4217.Contact Information
Primary practice address
2821 N 4Th St Suite 139
Milwaukee WI 53212-2362
Phone: (414) 264-4217
Fax: (414) 264-4218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11343-132 | Wisconsin |
Profile Details
| NPI number | 1659546745 |
|---|---|
| LBN Legal business name | Lemon, Walter |
| Credentials | CSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Apr 29th, 2008 - about 16 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 | 1659546745 | NPPES |
| Wisconsin | MEDICAID | 39173800 |
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