Kopaczewski, Paul

Kopaczewski, Paul is an individual health care provider with primary practice located at W20298 State Road 121 , Whitehall WI 54773-9685. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kopaczewski, Paul can be contacted via phone (715) 538-4312.

Contact Information

Primary practice address
W20298 State Road 121 Whitehall WI 54773-9685
Phone: (715) 538-4312
Fax: (715) 538-2426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1896-125 Wisconsin

Profile Details

NPI number 1336291533
LBN Legal business name Kopaczewski, Paul
Credentials DR.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336291533 NPPES
Wisconsin Other 1896-125 LICENSE

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