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
Fax: (920) 433-6738
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245215458 NPPES
Wisconsin MEDICAID 39779700

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