Valentine, Robert M
Valentine, Robert M is an sole proprietor health care provider with primary practice located at 2500 Hall Ave Ste A , Marinette WI 54143-1656. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Valentine, Robert M can be contacted via phone (715) 732-7760.Contact Information
Primary practice address
2500 Hall Ave Ste A
Marinette WI 54143-1656
Phone: (715) 732-7760
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 947-123 | Wisconsin |
Profile Details
| NPI number | 1477529105 |
|---|---|
| LBN Legal business name | Valentine, Robert M |
| Credentials | MSW, LCSW, CADC III |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | May 9th, 2008 - about 18 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 | 1477529105 | NPPES |
| Wisconsin | MEDICAID | 39569000 |
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