Hamilton, Todd Lee
Hamilton, Todd Lee is an sole proprietor health care provider with primary practice located at 2339 Cedar Rdg , Green Bay WI 54313-5700. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hamilton, Todd Lee can be contacted via phone (920) 497-6161.Contact Information
Primary practice address
2339 Cedar Rdg
Green Bay WI 54313-5700
Phone: (920) 497-6161
Fax: (920) 498-0476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2287-057 | Wisconsin |
Profile Details
| NPI number | 1124154612 |
|---|---|
| LBN Legal business name | Hamilton, Todd Lee |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1124154612 | NPPES |
| Wisconsin | MEDICAID | 39133500 |
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