Sumner, Joseph K
Sumner, Joseph K is an individual health care provider with primary practice located at 205 E Grand Ave , Chippewa Falls WI 54729-2632. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Sumner, Joseph K can be contacted via phone (715) 723-8468.Contact Information
Primary practice address
205 E Grand Ave
Chippewa Falls WI 54729-2632
Phone: (715) 723-8468
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2147-132 | Wisconsin |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2147-132 | Wisconsin |
Profile Details
NPI number | 1104098805 |
---|---|
LBN Legal business name | Sumner, Joseph K |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 2nd, 2008 |
Last updated | Apr 2nd, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104098805 | NPPES |
Wisconsin | MEDICAID | 42246000 |
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