Schaffer, Mical Gustave

Schaffer, Mical Gustave is an individual health care provider with primary practice located at 400 W River Dr , West Bend WI 53090-1567. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Schaffer, Mical Gustave can be contacted via phone (262) 338-2717.

Contact Information

Primary practice address
400 W River Dr West Bend WI 53090-1567
Phone: (262) 338-2717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7873-123 Wisconsin

Profile Details

NPI number 1043571771
LBN Legal business name Schaffer, Mical Gustave
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2012
Last updated Apr 2nd, 2019 - about 6 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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