Teske, John Paul
Teske, John Paul is an individual health care provider with primary practice located at 3263 Eaton Rd , Green Bay WI 54311-6830. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Teske, John Paul can be contacted via phone (920) 433-6700.Contact Information
Primary practice address
3263 Eaton Rd
Green Bay WI 54311-6830
Phone: (920) 433-6700
Fax: (920) 433-6738
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 1047 | Wisconsin |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1047-125 | Wisconsin |
Profile Details
NPI number | 1245215458 |
---|---|
LBN Legal business name | Teske, John Paul |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 9th, 2005 |
Last updated | Feb 10th, 2021 - about 3 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 | 1245215458 | NPPES |
Wisconsin | MEDICAID | 39779700 |
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