Rubin, Edward M

Rubin, Edward M is an individual health care provider with primary practice located at 1020 N 12Th St Outpt Health Center 4Th Floor, Milwaukee WI 53233-1308. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Rubin, Edward M can be contacted via phone (414) 219-5000.

Contact Information

Primary practice address
1020 N 12Th St Outpt Health Center 4Th Floor Milwaukee WI 53233-1308
Phone: (414) 219-5000
Fax: (414) 219-5422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1361057 Wisconsin
Behavioral Health & Social Service Providers / Health 103TH0004X 1361-057 Wisconsin

Profile Details

NPI number 1801814686
LBN Legal business name Rubin, Edward M
Credentials PSY D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 9th, 2010 - about 14 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 1801814686 NPPES
Wisconsin MEDICAID 39080300

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