Valentine, Robert M

Valentine, Robert M is an sole proprietor health care provider with primary practice located at 2500 Hall Ave Ste A , Marinette WI 54143-1656. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Valentine, Robert M can be contacted via phone (715) 732-7760.

Contact Information

Primary practice address
2500 Hall Ave Ste A Marinette WI 54143-1656
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 947-123 Wisconsin

Profile Details

NPI number 1477529105
LBN Legal business name Valentine, Robert M
Credentials MSW, LCSW, CADC III
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated May 9th, 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 1477529105 NPPES
Wisconsin MEDICAID 39569000

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