Wolleat, Richard John
Wolleat, Richard John is an individual health care provider with primary practice located at 4000 W 9Th St , Duluth MN 55807-1563. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wolleat, Richard John can be contacted via phone (218) 625-2660.Contact Information
Primary practice address
4000 W 9Th St
Duluth MN 55807-1563
Phone: (218) 625-2660
Fax: (218) 628-1347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2569 | Minnesota |
Profile Details
| NPI number | 1932265568 |
|---|---|
| LBN Legal business name | Wolleat, Richard John |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932265568 | NPPES |
| Other | 123LIWO | BCBS |
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