Wilke, William A.

Wilke, William A. is an individual health care provider with primary practice located at 1717 Taylor Ave , Racine WI 53403-2405. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wilke, William A. can be contacted via phone (262) 638-6744.

Contact Information

Primary practice address
1717 Taylor Ave Racine WI 53403-2405
Phone: (262) 638-6744
Fax: (262) 638-6540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12702-131 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2312-123 Wisconsin

Profile Details

NPI number 1447464169
LBN Legal business name Wilke, William A.
Credentials LCSW, SAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated May 10th, 2019 - about 7 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 1447464169 NPPES
Wisconsin MEDICAID 40939600

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