Oertel, Robert Mathew

Oertel, Robert Mathew is an individual health care provider with primary practice located at 1052 Main St Suite 206, Stevens Point WI 54481-2848. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Oertel, Robert Mathew can be contacted via phone (715) 344-4800.

Contact Information

Primary practice address
1052 Main St Suite 206 Stevens Point WI 54481-2848
Phone: (715) 344-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 388-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1863-123 Wisconsin

Profile Details

NPI number 1356454375
LBN Legal business name Oertel, Robert Mathew
Credentials LCSW/LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 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 1356454375 NPPES
Wisconsin MEDICAID 39612100

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