Yeast, Gary Don
Yeast, Gary Don is an individual health care provider with primary practice located at 301 E Kent Street , Wausau WI 54403. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Yeast, Gary Don can be contacted via phone (715) 842-3913.Contact Information
Primary practice address
301 E Kent Street
Wausau WI 54403
Phone: (715) 842-3913
Fax: (715) 842-0092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 148124MFT | Wisconsin |
Profile Details
| NPI number | 1972674521 |
|---|---|
| LBN Legal business name | Yeast, Gary Don |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1972674521 | NPPES |
| Wisconsin | Other | 1663 | SECURITY HEALTH PLAN |
| Wisconsin | MEDICAID | 39207100 | SECURITY HEALTH PLAN |
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