Berghammer, Jean Duve

Berghammer, Jean Duve is an individual health care provider with primary practice located at 15 W Milwaukee St Suite 207, Janesville WI 53548-2998. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berghammer, Jean Duve can be contacted via phone (608) 755-1475.

Contact Information

Primary practice address
15 W Milwaukee St Suite 207 Janesville WI 53548-2998
Phone: (608) 755-1475
Fax: (608) 755-1733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3693-123

Profile Details

NPI number 1700947512
LBN Legal business name Berghammer, Jean Duve
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jun 13th, 2013 - about 11 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 1700947512 NPPES
Wisconsin MEDICAID 43700800

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