Wiebusch, Christopher Paul

Wiebusch, Christopher Paul is an individual health care provider with primary practice located at N27W23953 Paul Rd Ste. 206, Pewaukee WI 53072-6242. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Wiebusch, Christopher Paul can be contacted via phone (262) 347-0701.

Contact Information

Primary practice address
N27W23953 Paul Rd Ste. 206 Pewaukee WI 53072-6242
Phone: (262) 347-0701
Fax: (262) 347-0705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1920 057 Wisconsin
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1920 057 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1920 Wisconsin

Profile Details

NPI number 1659598746
LBN Legal business name Wiebusch, Christopher Paul
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 3rd, 2021 - about 4 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 1659598746 NPPES
Wisconsin MEDICAID 39126000

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