Kaemmerer, Tobias D

Kaemmerer, Tobias D is an individual health care provider with primary practice located at 2901 W Kinnickinnic River Pkwy Ste 403 , Milwaukee WI 53215-3660. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Kaemmerer, Tobias D can be contacted via phone (414) 385-8771.

Contact Information

Primary practice address
2901 W Kinnickinnic River Pkwy Ste 403 Milwaukee WI 53215-3660
Phone: (414) 385-8771
Fax: (414) 385-2399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071-009517 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3497 Wisconsin

Profile Details

NPI number 1114449949
LBN Legal business name Kaemmerer, Tobias D
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2017
Last updated Nov 8th, 2023 - about 3 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 1114449949 NPPES
Wisconsin MEDICAID 100070118

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