Zipperer, Glenn

Zipperer, Glenn is an individual health care provider with primary practice located at 121 W Main St Ste 350, Port Washington WI 53074-1813. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Zipperer, Glenn can be contacted via phone (262) 284-8130.

Contact Information

Primary practice address
121 W Main St Ste 350 Port Washington WI 53074-1813
Phone: (262) 284-8130
Fax: (262) 284-8130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1105 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2320123 Wisconsin

Profile Details

NPI number 1548251655
LBN Legal business name Zipperer, Glenn
Credentials LCSW CADC III
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 8th, 2007 - about 17 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 1548251655 NPPES
Wisconsin MEDICAID 39333800

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