BRADLEY RAY HAWBECKER SAC 15654-131 NPI 1235316381

NPI Information

NPI: 1235316381
Provider Name: BRADLEY RAY HAWBECKER, SAC 15654-131
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2240 PRAIRE AVE
10
BELOIT, WI
ZIP 53511
Phone: (608) 361-7200
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Bradley Ray Hawbecker, SAC 15654-131 is an addiction (substance use disorder) counselor in Beloit, WI. Bradley Ray Hawbecker, SAC 15654-131 NPI is 1235316381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2240 PRAIRE AVE
10
BELOIT, WI
ZIP 53511-940
Phone: (608) 361-7200
Fax: (608) 361-7201

The enumeration date for this NPI number is 1/30/2008 and was last updated on 8/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	15654-131	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42247900	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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