Vanden Heuvel, Thomas J

Vanden Heuvel, Thomas J is an sole proprietor health care provider with primary practice located at 12012 W North Ave , Wauwatosa WI 53226-2040. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Vanden Heuvel, Thomas J can be contacted via phone (262) 224-6468.

Contact Information

Primary practice address
12012 W North Ave Wauwatosa WI 53226-2040
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 7058-123 Wisconsin

Profile Details

NPI number 1770664344
LBN Legal business name Vanden Heuvel, Thomas J
Credentials LCSW, CEAP, SAC, SAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jul 27th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770664344 NPPES
Wisconsin MEDICAID 40955100

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