Froehlich, Jenna Marie

Froehlich, Jenna Marie is an individual health care provider with primary practice located at 1541 Annex Road , Jefferson WI 53549. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Froehlich, Jenna Marie can be contacted via phone (920) 674-8718.

Contact Information

Primary practice address
1541 Annex Road Jefferson WI 53549
Fax: (920) 674-6694
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3724-154 Wisconsin

Profile Details

NPI number 1144579269
LBN Legal business name Froehlich, Jenna Marie
Credentials M.S. CF-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Aug 28th, 2013 - about 11 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 1144579269 NPPES
Wisconsin MEDICAID 100030185

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