Rabas, Simon

Rabas, Simon is an individual health care provider with primary practice located at 323 S 18Th Ave , Sturgeon Bay WI 54235-1401. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rabas, Simon can be contacted via phone (920) 746-0510.

Contact Information

Primary practice address
323 S 18Th Ave Sturgeon Bay WI 54235-1401
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1306360201
LBN Legal business name Rabas, Simon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2017
Last updated Mar 9th, 2022 - about 2 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 1306360201 NPPES
Wisconsin MEDICAID APPLIED

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