Streyle, John R

Streyle, John R is an individual health care provider with primary practice located at 505 King St Suite 025, La Crosse WI 54601-9204. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Streyle, John R can be contacted via phone (608) 785-7000.

Contact Information

Primary practice address
505 King St Suite 025 La Crosse WI 54601-9204
Fax: (608) 785-7477
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2363 Wisconsin

Profile Details

NPI number 1881690386
LBN Legal business name Streyle, John R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated May 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881690386 NPPES
Minnesota Other 130525 UCARE
Minnesota MEDICAID 39631200 UCARE
Minnesota Other 389K4ST UCARE
Minnesota Other HP46705 UCARE
Minnesota MEDICAID 296318300 UCARE

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