Minden, Dave
Minden, Dave is an sole proprietor health care provider with primary practice located at 702 N Blackhawk Ave Ste 104 , 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. Minden, Dave can be contacted via phone (608) 233-0657.Contact Information
Primary practice address
702 N Blackhawk Ave Ste 104
Madison WI 53705-3357
Phone: (608) 233-0657
Fax: (866) 746-7898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1812-057 | Wisconsin |
Profile Details
| NPI number | 1952378754 |
|---|---|
| LBN Legal business name | Minden, Dave |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Apr 15th, 2014 - about 10 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 | 1952378754 | NPPES |
| Wisconsin | MEDICAID | 39105800 |
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