Hereford, Jessica

Hereford, Jessica is an individual health care provider with primary practice located at 502 2Nd St Ste 205 , Hudson WI 54016-1989. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Hereford, Jessica can be contacted via phone (715) 690-3017.

Contact Information

Primary practice address
502 2Nd St Ste 205 Hudson WI 54016-1989
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Wisconsin

Profile Details

NPI number 1932691334
LBN Legal business name Hereford, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2018
Last updated May 31st, 2018 - about 8 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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