Behrend, Jeanne Marie

Behrend, Jeanne Marie is an individual health care provider with primary practice located at 5610 Medical Circle Suite 25, Madison WI 53719-1295. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Behrend, Jeanne Marie can be contacted via phone (608) 274-5871.

Contact Information

Primary practice address
5610 Medical Circle Suite 25 Madison WI 53719-1295
Phone: (608) 274-5871
Fax: (608) 274-5764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1113057 Wisconsin

Profile Details

NPI number 1962574665
LBN Legal business name Behrend, Jeanne Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1962574665 NPPES
Other 50639 NATIONAL REGISTER OF HEAL
MEDICAID 39034400 NATIONAL REGISTER OF HEAL

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