Wochos, Gregory C

Wochos, Gregory C is an individual health care provider with primary practice located at 600 Walnut Ridge Dr , Hartland WI 53029-9385. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Wochos, Gregory C can be contacted via phone (262) 369-7068.

Contact Information

Primary practice address
600 Walnut Ridge Dr Hartland WI 53029-9385
Phone: (262) 369-7068
Fax: (262) 369-7041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3144 Wisconsin
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3144 Wisconsin

Profile Details

NPI number 1639590722
LBN Legal business name Wochos, Gregory C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2013
Last updated Nov 24th, 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 1639590722 NPPES
Wisconsin MEDICAID 100034719

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