Adams, Jamal
Adams, Jamal is an individual health care provider with primary practice located at 128 E Olin Ave Ste 100 , Madison WI 53713-1467. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Adams, Jamal can be contacted via phone (608) 252-1320.Contact Information
Primary practice address
128 E Olin Ave Ste 100
Madison WI 53713-1467
Phone: (608) 252-1320
Fax: (608) 252-1333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4594-226 | Wisconsin |
Profile Details
| NPI number | 1417586017 |
|---|---|
| LBN Legal business name | Adams, Jamal |
| Credentials | MS, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2020 |
| Last updated | May 25th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417586017 | NPPES |
| Wisconsin | Other | 8541-125 | WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
| Wisconsin | Other | 4594-226 | WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
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