Borthwick, Jacqueline
Borthwick, Jacqueline is an individual health care provider with primary practice located at 161 W Wisconsin Ave , Pewaukee WI 53072-3467. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Borthwick, Jacqueline can be contacted via phone (262) 695-8857.Contact Information
Primary practice address
161 W Wisconsin Ave
Pewaukee WI 53072-3467
Phone: (262) 695-8857
Fax: (262) 695-8879
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3354-57 | Wisconsin |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 3354-57 | Wisconsin |
Profile Details
NPI number | 1497208110 |
---|---|
LBN Legal business name | Borthwick, Jacqueline |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 28th, 2016 |
Last updated | Jul 29th, 2016 - about 9 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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