Luster, Dennis J

Luster, Dennis J is an individual health care provider with primary practice located at 3530 N County Rd E # F , Janesville WI 53548-9074. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Luster, Dennis J can be contacted via phone (608) 758-8412.

Contact Information

Primary practice address
3530 N County Rd E # F Janesville WI 53548-9074
Phone: (608) 758-8412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2528-125 Wisconsin

Profile Details

NPI number 1528254968
LBN Legal business name Luster, Dennis J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Sep 19th, 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 1528254968 NPPES
Wisconsin MEDICAID 39674500

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