Roets, Cheryl Joy
Roets, Cheryl Joy is an individual health care provider with primary practice located at 705 S University Ave Ste 200 , Beaver Dam WI 53916-3079. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Roets, Cheryl Joy can be contacted via phone (920) 887-9272.Contact Information
Primary practice address
705 S University Ave Ste 200
Beaver Dam WI 53916-3079
Phone: (920) 887-9272
Fax: (920) 885-4752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1776 | Wisconsin |
Profile Details
| NPI number | 1609878453 |
|---|---|
| LBN Legal business name | Roets, Cheryl Joy |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | May 4th, 2021 - about 3 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 | 1609878453 | NPPES |
| Wisconsin | MEDICAID | 39111700 |
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