Betlej, Gregory

Betlej, Gregory is an individual health care provider with primary practice located at 6416 S Howell Ave , Oak Creek WI 53154-1104. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Betlej, Gregory can be contacted via phone (414) 762-5429.

Contact Information

Primary practice address
6416 S Howell Ave Oak Creek WI 53154-1104
Phone: (414) 762-5429
Fax: (414) 762-9727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1443-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2195-123 Wisconsin

Profile Details

NPI number 1588684807
LBN Legal business name Betlej, Gregory
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jan 2nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588684807 NPPES
Wisconsin MEDICAID 39298700

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