Oosterhous, Beverly S
Oosterhous, Beverly S is an individual health care provider with primary practice located at 1244 C Midway Rd , Menasha WI 54952-1128. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Oosterhous, Beverly S can be contacted via phone (920) 722-8150.Contact Information
Primary practice address
1244 C Midway Rd
Menasha WI 54952-1128
Phone: (920) 722-8150
Fax: (920) 722-0142
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2562125 | Wisconsin |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 894121 | Wisconsin |
Profile Details
NPI number | 1942399977 |
---|---|
LBN Legal business name | Oosterhous, Beverly S |
Credentials | MSE |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942399977 | NPPES |
Wisconsin | MEDICAID | 39787700 |
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