Chrostowski, Jay J

Chrostowski, Jay J is an individual health care provider with primary practice located at 1220 Dewey Ave Lorton Ii, Wauwatosa WI 53213. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chrostowski, Jay J can be contacted via phone (414) 454-6500.

Contact Information

Primary practice address
1220 Dewey Ave Lorton Ii Wauwatosa WI 53213
Phone: (414) 454-6500
Fax: (414) 454-6522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1682-057 Wisconsin

Profile Details

NPI number 1891704946
LBN Legal business name Chrostowski, Jay J
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Nov 30th, 2021 - about 3 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 1891704946 NPPES
Wisconsin MEDICAID 39095400

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