Secor, Willard J
Secor, Willard J is an individual health care provider with primary practice located at 1810 Appleton Rd , Menasha WI 54952-1110. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Secor, Willard J can be contacted via phone (920) 739-4226.Contact Information
Primary practice address
1810 Appleton Rd
Menasha WI 54952-1110
Phone: (920) 739-4226
Fax: (920) 432-5966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1053388983 |
|---|---|
| LBN Legal business name | Secor, Willard J |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Aug 2nd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053388983 | NPPES |
| Wisconsin | MEDICAID | 39294500 |
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