Luebke, Craig Alan
Luebke, Craig Alan is an sole proprietor health care provider with primary practice located at 160 E Geneva Sq , Lake Geneva WI 53147-9694. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Luebke, Craig Alan can be contacted via phone (262) 249-0830.Contact Information
Primary practice address
160 E Geneva Sq
Lake Geneva WI 53147-9694
Phone: (262) 249-0830
Fax: (262) 249-0835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3556-123 | Wisconsin |
Profile Details
| NPI number | 1467446989 |
|---|---|
| LBN Legal business name | Luebke, Craig Alan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Dec 12th, 2016 - about 8 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 | 1467446989 | NPPES |
| Other | 242216000 | MAGELLAN BID HEALTH | |
| MEDICAID | 39637100 | MAGELLAN BID HEALTH | |
| Other | 10671 | MAGELLAN BID HEALTH | |
| Other | 2146947 | MAGELLAN BID HEALTH | |
| Other | 39637100 | MAGELLAN BID HEALTH | |
| Other | 574220698004 | MAGELLAN BID HEALTH |
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