Rothweiler, Jeffrey C

Rothweiler, Jeffrey C is an individual health care provider with primary practice located at 114 Grand Ave , Wausau WI 54403-6214. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rothweiler, Jeffrey C can be contacted via phone (715) 845-7175.

Contact Information

Primary practice address
114 Grand Ave Wausau WI 54403-6214
Phone: (715) 845-7175
Fax: (715) 845-7142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2594-057 Wisconsin

Profile Details

NPI number 1699894782
LBN Legal business name Rothweiler, Jeffrey C
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 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 1699894782 NPPES
Wisconsin MEDICAID 43585900

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