Westover, James M.

Westover, James M. is an individual health care provider with primary practice located at 6233 39Th Ave , Kenosha WI 53142-7015. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Westover, James M. can be contacted via phone (262) 654-1004.

Contact Information

Primary practice address
6233 39Th Ave Kenosha WI 53142-7015
Phone: (262) 654-1004
Fax: (262) 654-6960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3108-125 Wisconsin

Profile Details

NPI number 1750591228
LBN Legal business name Westover, James M.
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jun 30th, 2008 - 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 1750591228 NPPES
Wisconsin MEDICAID 39763500

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