Lustgarten, Samuel David
Lustgarten, Samuel David is an sole proprietor health care provider with primary practice located at 702 N Blackhawk Ave Ste 205 , Madison WI 53705-3357. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Lustgarten, Samuel David can be contacted via phone (720) 260-4362.Contact Information
Primary practice address
702 N Blackhawk Ave Ste 205
Madison WI 53705-3357
Phone: (720) 260-4362
Fax: (971) 999-0817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 3178 | Oregon |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 3717-57 | Wisconsin |
Profile Details
| NPI number | 1477197929 |
|---|---|
| LBN Legal business name | Lustgarten, Samuel David |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2019 |
| Last updated | Dec 29th, 2022 - about 3 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.
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