Michael G Baskfield, B.S.
Individual provider Active NPI Social Worker · Juneau, WI
NPI 1780762633 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780762633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 2828-120 (WI)
- Practice address
- 199 Home Rd
Juneau, WI 53039-1401 - Phone
- (920) 386-3500
- Fax
- (920) 386-3812
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2828-120 | WI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2828-120 | WI | Yes |
Addresses
Primary practice location
199 Home Rd
Juneau, WI 53039-1401
Mailing address
199 Home Rd
Juneau, WI 53039-1401
Phone (920) 386-3500
Other providers in Juneau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.