Schultz, Brock Davis Vern

Schultz, Brock Davis Vern is an individual health care provider with primary practice located at 1955 W Broadway Ste 104 , Monona WI 53713-3700. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Schultz, Brock Davis Vern can be contacted via phone (608) 395-1795.

Contact Information

Primary practice address
1955 W Broadway Ste 104 Monona WI 53713-3700
Phone: (608) 395-1795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3887-226 Wisconsin

Profile Details

NPI number 1902552417
LBN Legal business name Schultz, Brock Davis Vern
Credentials LPC-IT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2022
Last updated Feb 23rd, 2022 - about 3 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.

Request for update

Popular Providers