Kollath, Kent Thomas

Kollath, Kent Thomas is an sole proprietor health care provider with primary practice located at 2911 Main Ave , Sheboygan WI 53083-3639. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Kollath, Kent Thomas can be contacted via phone (920) 254-6922.

Contact Information

Primary practice address
2911 Main Ave Sheboygan WI 53083-3639
Phone: (920) 254-6922
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15399-132 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15401-133 Wisconsin

Profile Details

NPI number 1679748677
LBN Legal business name Kollath, Kent Thomas
Credentials CSAC, CSIT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2008
Last updated Jun 1st, 2012 - about 14 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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