Scowcroft, William R

Scowcroft, William R is an individual health care provider with primary practice located at 1910 South Ave , La Crosse WI 54601-5467. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Scowcroft, William R can be contacted via phone (608) 775-2287.

Contact Information

Primary practice address
1910 South Ave La Crosse WI 54601-5467
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1264 Wisconsin

Profile Details

NPI number 1730185240
LBN Legal business name Scowcroft, William R
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 2007 - about 17 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 1730185240 NPPES
Wisconsin MEDICAID 39375300

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