Condon, William

Condon, William is an individual health care provider with primary practice located at 2357 W Mason St , Green Bay WI 54303-4708. He recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Condon, William can be contacted via phone (920) 337-6740.

Contact Information

Primary practice address
2357 W Mason St Green Bay WI 54303-4708
Phone: (920) 337-6740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 228735-30 Wisconsin

Profile Details

NPI number 1720797525
LBN Legal business name Condon, William
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2022
Last updated Nov 21st, 2022 - about 4 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 1720797525 NPPES
Wisconsin MEDICAID 42030700

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