Rouse, Richard L
Rouse, Richard L is an individual health care provider with primary practice located at 300 Crooks Street , Green Bay WI 54301. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Rouse, Richard L can be contacted via phone (920) 436-6800.Contact Information
Primary practice address
300 Crooks Street
Green Bay WI 54301
Phone: (920) 436-6800
Fax: (920) 437-3540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 178003890 | Illinois |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0080251 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3977-125 | Wisconsin |
Profile Details
| NPI number | 1497831622 |
|---|---|
| LBN Legal business name | Rouse, Richard L |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jun 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497831622 | NPPES |
| Wisconsin | MEDICAID | 43732700 |
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