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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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 1104098805 NPPES
Wisconsin MEDICAID 42246000

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