Wenck, L Stanley

Wenck, L Stanley is an sole proprietor health care provider with primary practice located at 3111 W Jackson St , Muncie IL 47304-4371. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Wenck, L Stanley can be contacted via phone (765) 284-0879.

Contact Information

Primary practice address
3111 W Jackson St Muncie IL 47304-4371
Phone: (765) 284-0879
Fax: (765) 284-1480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20090044A Indiana

Profile Details

NPI number 1285747592
LBN Legal business name Wenck, L Stanley
Credentials EDD, HSPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1285747592 NPPES
Indiana Other 000000186180 ANTHEM BCBS
Indiana MEDICAID 100333800 ANTHEM BCBS
Indiana Other 344574000 ANTHEM BCBS

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