Wiedenhoeft, James D

Wiedenhoeft, James D is an individual health care provider with primary practice located at 1049 N Lynndale Dr 1B, Appleton WI 54914-3050. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wiedenhoeft, James D can be contacted via phone (262) 345-5599.

Contact Information

Primary practice address
1049 N Lynndale Dr 1B Appleton WI 54914-3050
Phone: (262) 345-5599
Fax: (262) 345-5608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2781-123 Wisconsin

Profile Details

NPI number 1871706507
LBN Legal business name Wiedenhoeft, James D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 16th, 2014 - about 10 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 1871706507 NPPES
Wisconsin Other 2781-123 LCSW
Wisconsin Other 39-1047224 LCSW
Wisconsin MEDICAID 39668500 LCSW

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