White Eagle, Joseph

White Eagle, Joseph is an individual health care provider with primary practice located at S2845 White Eagle Rd , Baraboo WI 53913-9064. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. White Eagle, Joseph can be contacted via phone (608) 355-1240.

Contact Information

Primary practice address
S2845 White Eagle Rd Baraboo WI 53913-9064
Phone: (608) 355-1240
Fax: (608) 355-9588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16099-131 Wisconsin

Profile Details

NPI number 1033531108
LBN Legal business name White Eagle, Joseph
Credentials SAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2014
Last updated Nov 30th, 2016 - about 10 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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