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Contact Information

JEFFREY R DURBIN, PhD
500 E VETERANS ST
TOMAH, WI54660-3105
 Phone: 608-372-3971
 Fax: 608-372-1263
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEFFREY R DURBIN · (Male)

NPI Number 1134161417
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 1887057
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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