Lund, Eric John

Lund, Eric John is an individual health care provider with primary practice located at 1575 Allouez Ave , Green Bay WI 54311-5639. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lund, Eric John can be contacted via phone (920) 857-9041.

Contact Information

Primary practice address
1575 Allouez Ave Green Bay WI 54311-5639
Phone: (920) 857-9041
Fax: (920) 857-3366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1871057 Wisconsin
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-08-4429 Wisconsin

Profile Details

NPI number 1801954474
LBN Legal business name Lund, Eric John
Credentials PSY.D, BCBA-D, AND A
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jan 14th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801954474 NPPES
Wisconsin MEDICAID 1801954474

Popular Providers