Zirkel, Kip H
Zirkel, Kip H is an individual health care provider with primary practice located at 1707 Main St , La Crosse WI 54601-4200. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Zirkel, Kip H can be contacted via phone (608) 785-0001.Contact Information
Primary practice address
1707 Main St
La Crosse WI 54601-4200
Phone: (608) 785-0001
Fax: (608) 785-0002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 781 | Wisconsin |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 781 | Wisconsin |
Profile Details
| NPI number | 1619023090 |
|---|---|
| LBN Legal business name | Zirkel, Kip H |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 29th, 2010 - about 15 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 | 1619023090 | NPPES |
| Wisconsin | MEDICAID | 39018600 | |
| Wisconsin | Other | HP69927 | |
| Wisconsin | Other | 13G9521 | |
| Wisconsin | Other | 31097 | |
| Wisconsin | MEDICAID | 852578100 |
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