Weeden, Dennis Clark

Weeden, Dennis Clark is an sole proprietor health care provider with primary practice located at W67N222 Evergreen Blvd Ste 111 , Cedarburg WI 53012-2650. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Weeden, Dennis Clark can be contacted via phone (262) 375-9222.

Contact Information

Primary practice address
W67N222 Evergreen Blvd Ste 111 Cedarburg WI 53012-2650
Fax: (262) 375-9005
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 432-123 Wisconsin

Profile Details

NPI number 1972726370
LBN Legal business name Weeden, Dennis Clark
Credentials MSSW,LCSW, CEAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated May 31st, 2024 - about 2 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 1972726370 NPPES
Wisconsin MEDICAID 39590200

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