Laubach, Peter T

Laubach, Peter T is an individual health care provider with primary practice located at 1002 Lincoln Ave , Baraboo WI 53913-1808. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Laubach, Peter T can be contacted via phone (608) 356-9055.

Contact Information

Primary practice address
1002 Lincoln Ave Baraboo WI 53913-1808
Phone: (608) 356-9055
Fax: (608) 356-5447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 885-123 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 885-123 Wisconsin

Profile Details

NPI number 1316953540
LBN Legal business name Laubach, Peter T
Credentials LCSW, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated May 21st, 2015 - about 11 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 1316953540 NPPES
Wisconsin MEDICAID 39227400

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