Thur, John R.

Thur, John R. is an individual health care provider with primary practice located at 2600 Stewart Ave Ste 38, Wausau WI 54401-4148. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Thur, John R. can be contacted via phone (715) 845-4900.

Contact Information

Primary practice address
2600 Stewart Ave Ste 38 Wausau WI 54401-4148
Fax: (715) 845-4970
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 376-123 Wisconsin

Profile Details

NPI number 1508075201
LBN Legal business name Thur, John R.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Oct 24th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508075201 NPPES
Wisconsin MEDICAID 39575900

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