Cheney, Benjamin R

Cheney, Benjamin R is an individual health care provider with primary practice located at 2640 West Point Rd , Green Bay WI 54304. 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 / Clinical is his primary health care specialty. Cheney, Benjamin R can be contacted via phone (920) 490-3790.

Contact Information

Primary practice address
2640 West Point Rd Green Bay WI 54304
Phone: (920) 490-3790
Fax: (920) 490-3889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 7420-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7420-123 Wisconsin

Profile Details

NPI number 1477727097
LBN Legal business name Cheney, Benjamin R
Credentials MSW, LCSW-SAS, CCTP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Sep 16th, 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 1477727097 NPPES
Other 12435121 CAQH
MEDICAID 100022647 CAQH

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