Allee-Jatta, Sara Jane

Allee-Jatta, Sara Jane is an individual health care provider with primary practice located at 1955 W Broadway , Monona WI 53713-3700. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Allee-Jatta, Sara Jane can be contacted via phone (646) 750-5416.

Contact Information

Primary practice address
1955 W Broadway Monona WI 53713-3700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16292-132 Wisconsin

Profile Details

NPI number 1215477542
LBN Legal business name Allee-Jatta, Sara Jane
Credentials CSAC, CSIT, SAP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2017
Last updated Nov 14th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215477542 NPPES
Wisconsin MEDICAID 100076669

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