Wuertz, Philip A
Wuertz, Philip A is an individual health care provider with primary practice located at 8600 University Blvd Rm Hp0091, Evansville IN 47712-3534. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Wuertz, Philip A can be contacted via phone (812) 465-1250.Contact Information
Primary practice address
8600 University Blvd Rm Hp0091
Evansville IN 47712-3534
Phone: (812) 465-1250
Fax: (812) 465-7170
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 34002562A | Indiana |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34002562A | Indiana |
Profile Details
NPI number | 1609934769 |
---|---|
LBN Legal business name | Wuertz, Philip A |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 4th, 2006 |
Last updated | Jan 9th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609934769 | NPPES |
Indiana | MEDICAID | 000000220593 |
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