King, Robert Paul

King, Robert Paul is an sole proprietor health care provider with primary practice located at 10045 W Lisbon Ave 221, Wauwatosa WI 53222-2446. 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. King, Robert Paul can be contacted via phone (414) 358-7144.

Contact Information

Primary practice address
10045 W Lisbon Ave 221 Wauwatosa WI 53222-2446
Phone: (414) 358-7144
Fax: (414) 358-7158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1207-057 Wisconsin

Profile Details

NPI number 1619054996
LBN Legal business name King, Robert Paul
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619054996 NPPES
Wisconsin MEDICAID 39152900

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