Soncrant, George D
Soncrant, George D is an sole proprietor health care provider with primary practice located at 3000 Riverside Dr Suite 180, Green Bay WI 54301-1653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Soncrant, George D can be contacted via phone (920) 632-7040.Contact Information
Primary practice address
3000 Riverside Dr Suite 180
Green Bay WI 54301-1653
Phone: (920) 632-7040
Fax: (920) 632-7262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 38789 | Wisconsin |
Profile Details
| NPI number | 1043295256 |
|---|---|
| LBN Legal business name | Soncrant, George D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Mar 9th, 2012 - about 12 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 | 1043295256 | NPPES |
| Wisconsin | MEDICAID | 32369900 |
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