Nick, William G

Nick, William G is an individual health care provider with primary practice located at 620 N 12Th Ave , Sturgeon Bay WI 54235-1249. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nick, William G can be contacted via phone (920) 743-9954.

Contact Information

Primary practice address
620 N 12Th Ave Sturgeon Bay WI 54235-1249
Phone: (920) 743-9954
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 39205900 Wisconsin

Profile Details

NPI number 1093781536
LBN Legal business name Nick, William G
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093781536 NPPES
Wisconsin MEDICAID 39205900

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