Chaffee, Jill
Chaffee, Jill is an individual health care provider with primary practice located at 3203 Stein Blvd , Eau Claire WI 54701-6917. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chaffee, Jill can be contacted via phone (715) 552-1342.Contact Information
Primary practice address
3203 Stein Blvd
Eau Claire WI 54701-6917
Phone: (715) 552-1342
Fax: (715) 552-1644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Wisconsin |
Profile Details
| NPI number | 1124293683 |
|---|---|
| LBN Legal business name | Chaffee, Jill |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Apr 25th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124293683 | NPPES |
| Wisconsin | MEDICAID | 39791900 |
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