Potter-Efron, Ronald

Potter-Efron, Ronald is an individual health care provider with primary practice located at 2125 Heights Dr Suite 2D, Eau Claire WI 54701-4562. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Potter-Efron, Ronald can be contacted via phone (715) 832-8432.

Contact Information

Primary practice address
2125 Heights Dr Suite 2D Eau Claire WI 54701-4562
Phone: (715) 832-8432
Fax: (715) 832-5007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2409-123 Wisconsin

Profile Details

NPI number 1902099047
LBN Legal business name Potter-Efron, Ronald
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2007
Last updated Oct 12th, 2009 - about 17 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 1902099047 NPPES
Wisconsin MEDICAID 39555000

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