Van Guyse, Sophia
Van Guyse, Sophia is an individual health care provider with primary practice located at 10450 72Nd Ave , Pleasant Prairie WI 53158-2911. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Van Guyse, Sophia can be contacted via phone (262) 657-6453.Contact Information
Primary practice address
10450 72Nd Ave
Pleasant Prairie WI 53158-2911
Phone: (262) 657-6453
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Wisconsin |
Profile Details
| NPI number | 1003498833 |
|---|---|
| LBN Legal business name | Van Guyse, Sophia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2021 |
| Last updated | Apr 21st, 2021 - about 5 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 | 1003498833 | NPPES |
| Wisconsin | Other | 117110289 | HUMANA |
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