Provider Demographics
NPI:1851501720
Name:ROHLING, PAUL CHRISTOPHER (MSW, APSW)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:CHRISTOPHER
Last Name:ROHLING
Suffix:
Gender:M
Credentials:MSW, APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 VILLA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53403-1144
Mailing Address - Country:US
Mailing Address - Phone:262-619-3265
Mailing Address - Fax:
Practice Address - Street 1:700 VILLA ST
Practice Address - Street 2:SUITE B
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53403-1144
Practice Address - Country:US
Practice Address - Phone:262-619-3265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1923-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker