Petrie, Steven W

Petrie, Steven W is an individual health care provider with primary practice located at 14555 W National Ave #193, New Berlin WI 53151-4494. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Petrie, Steven W can be contacted via phone (262) 796-8426.

Contact Information

Primary practice address
14555 W National Ave #193 New Berlin WI 53151-4494
Phone: (262) 796-8426
Fax: (262) 796-8437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 192-123 Wisconsin

Profile Details

NPI number 1437266830
LBN Legal business name Petrie, Steven W
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 9th, 2007 - about 18 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 1437266830 NPPES
Wisconsin MEDICAID 40957800

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