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
Fax: (812) 465-7170
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609934769 NPPES
Indiana MEDICAID 000000220593

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