Roethe, David
Roethe, David is an individual health care provider with primary practice located at 310 N Midvale Blvd Ste 202 , Madison WI 53705-3265. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Roethe, David can be contacted via phone (608) 280-6486.Contact Information
Primary practice address
310 N Midvale Blvd Ste 202
Madison WI 53705-3265
Phone: (608) 280-6486
Fax: (608) 238-1929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1360 | Wisconsin |
Profile Details
| NPI number | 1548338239 |
|---|---|
| LBN Legal business name | Roethe, David |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548338239 | NPPES |
| Wisconsin | MEDICAID | 39194800 |
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