Rattray, Kirk Anthony

Rattray, Kirk Anthony is an individual health care provider with primary practice located at 1810 Appleton Road , Menasha WI 54952. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Rattray, Kirk Anthony can be contacted via phone (920) 739-4226.

Contact Information

Primary practice address
1810 Appleton Road Menasha WI 54952
Phone: (920) 739-4226
Fax: (920) 739-7639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1841375433
LBN Legal business name Rattray, Kirk Anthony
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
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 1841375433 NPPES
Wisconsin MEDICAID 41009300

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