Pfister, Thomas Nathaniel

Pfister, Thomas Nathaniel is an individual health care provider with primary practice located at 124 Grayside Ave , Mauston WI 53948-1913. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Pfister, Thomas Nathaniel can be contacted via phone (608) 847-7575.

Contact Information

Primary practice address
124 Grayside Ave Mauston WI 53948-1913
Phone: (608) 847-7575
Fax: (608) 847-3096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7511-125 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16389-132 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 7511-125 Wisconsin

Profile Details

NPI number 1801387329
LBN Legal business name Pfister, Thomas Nathaniel
Credentials LPC, CSAC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2018
Last updated Sep 17th, 2019 - about 5 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 1801387329 NPPES
Other 1092317 NCC CERTIFICATION
MEDICAID 100077603 NCC CERTIFICATION
Other 14264776 NCC CERTIFICATION
Other 1013375104 NCC CERTIFICATION

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