Roush, Erich A

Roush, Erich A is an individual health care provider with primary practice located at 4455 S 108Th St , Greenfield WI 53228-2504. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Roush, Erich A can be contacted via phone (414) 427-5310.

Contact Information

Primary practice address
4455 S 108Th St Greenfield WI 53228-2504
Phone: (414) 427-5310
Fax: (414) 427-5311
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2517-226 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3583-057 Wisconsin

Profile Details

NPI number 1407236300
LBN Legal business name Roush, Erich A
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2015
Last updated Jun 28th, 2024 - about 5 months 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 1407236300 NPPES
Wisconsin MEDICAID 1407236300

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