Wickenheiser, Robert Paul

Wickenheiser, Robert Paul is an sole proprietor health care provider with primary practice located at 1006 Harrison St , Monroe MI 48161-4018. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wickenheiser, Robert Paul can be contacted via phone (734) 241-2546.

Contact Information

Primary practice address
1006 Harrison St Monroe MI 48161-4018
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801001914 Michigan

Profile Details

NPI number 1215129804
LBN Legal business name Wickenheiser, Robert Paul
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2007
Last updated Aug 16th, 2007 - about 16 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 1215129804 NPPES
Michigan MEDICAID 1041C0700X

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