Chapin, Jessica
Chapin, Jessica is an individual health care provider with primary practice located at 600 Walnut Ridge Dr , Hartland WI 53029-9385. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Chapin, Jessica can be contacted via phone (262) 369-7068.Contact Information
Primary practice address
600 Walnut Ridge Dr
Hartland WI 53029-9385
Phone: (262) 369-7068
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2887 | Wisconsin |
Profile Details
| NPI number | 1477747103 |
|---|---|
| LBN Legal business name | Chapin, Jessica |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2007 |
| Last updated | Nov 30th, 2021 - about 4 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 | 1477747103 | NPPES |
| Wisconsin | MEDICAID | 100015802 |
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