Bricco, Jillene A

Bricco, Jillene A is an individual health care provider with primary practice located at 3305 N Ballard Rd Ste C , Appleton WI 54911-9001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bricco, Jillene A can be contacted via phone (920) 735-9234.

Contact Information

Primary practice address
3305 N Ballard Rd Ste C Appleton WI 54911-9001
Phone: (920) 735-9234
Fax: (920) 739-8288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 356 Wisconsin

Profile Details

NPI number 1699820761
LBN Legal business name Bricco, Jillene A
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 9th, 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 1699820761 NPPES
Wisconsin MEDICAID 40566700

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