Hamberger, Larry Kevin

Hamberger, Larry Kevin is an individual health care provider with primary practice located at 2400 W Villard Ave Wfhc Glendale Family Center, Milwaukee WI 53209-4901. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Hamberger, Larry Kevin can be contacted via phone (414) 527-8458.

Contact Information

Primary practice address
2400 W Villard Ave Wfhc Glendale Family Center Milwaukee WI 53209-4901
Phone: (414) 527-8458
Fax: (414) 527-8045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1004 Wisconsin

Profile Details

NPI number 1780635524
LBN Legal business name Hamberger, Larry Kevin
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 24th, 2013 - about 13 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 1780635524 NPPES
Other 002000119L HUMANA
MEDICAID 1780635524 HUMANA

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