Robinson, Philip W

Robinson, Philip W is an individual health care provider with primary practice located at 2639 New Pinery Rd Suite 1, Portage WI 53901-1110. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Robinson, Philip W can be contacted via phone (608) 742-5020.

Contact Information

Primary practice address
2639 New Pinery Rd Suite 1 Portage WI 53901-1110
Phone: (608) 742-5020
Fax: (608) 742-5364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6964-123 Wisconsin

Profile Details

NPI number 1649208505
LBN Legal business name Robinson, Philip W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 21st, 2020 - about 6 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 1649208505 NPPES
Wisconsin MEDICAID 4.565900

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