Lois A Pulvermacher in Green Bay - Clinical

Lois A Pulvermacher - NPI 1215078662

Lois A Pulvermacher is a Clinical in Green Bay, Wisconsin. Lois A Pulvermacher practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lois A Pulvermacher is 1215078662. The last update date is 2020-06-01.

Lois A Pulvermacher's current location address is 101 Primrose Ln, Green Bay, Wisconsin. You can contact this provider via phone number 9207124526 and fax number 8004690235. The mailing address for Lois A Pulvermacher is 101 Primrose Ln, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Lois A Pulvermacher
Address 101 Primrose Ln, Green Bay, Wisconsin
Phone Number 9207124526
Fax Number 8004690235
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1215078662
Provider Enumeration Date 2007-02-09
Last Updated Date 2020-06-01

Provider Mailing Address Detail

Address 101 Primrose Ln
City Green Bay
State Wisconsin (WI)
Post Code 543116882
Phone Number 9207124526
Fax Number 8004690235

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 7302-123
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40918400 WI --
7302-123 WI LCSW

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FAQs about Lois A Pulvermacher

What is the Lois A Pulvermacher's unique identification number?

The Lois A Pulvermacher has been assigned the NPI (National Provider Identifier) Number 1215078662 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Lois A Pulvermacher?

The Lois A Pulvermacher is situated at 101 Primrose Ln, in the city of Green Bay, state of WI, with the zip code 543116882.

What is Lois A Pulvermacher's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lois A Pulvermacher is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When did Lois A Pulvermacher receive its 1215078662 assignment?

The Lois A Pulvermacher was assigned its 1215078662 on 2007-02-09, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Lois A Pulvermacher most recently updated or revised?

The information pertaining to Lois A Pulvermacher, including its address, specialty, and other relevant details, was last updated or revised on 2020-06-01.

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