Kietzman, Justin

Kietzman, Justin is an individual health care provider with primary practice located at 425 6Th St , Reedsburg WI 53959. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kietzman, Justin can be contacted via phone (608) 524-7907.

Contact Information

Primary practice address
425 6Th St Reedsburg WI 53959
Phone: (608) 524-7907
Fax: (608) 524-7980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4936 North Dakota

Profile Details

NPI number 1063837417
LBN Legal business name Kietzman, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2014
Last updated Jul 27th, 2018 - about 8 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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