Jabczynski, Micelle Lynn

Jabczynski, Micelle Lynn is an individual health care provider with primary practice located at 8633 32Nd Ave , Kenosha WI 53142-5187. 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. Jabczynski, Micelle Lynn can be contacted via phone (262) 694-8800.

Contact Information

Primary practice address
8633 32Nd Ave Kenosha WI 53142-5187
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2710-154 Wisconsin

Profile Details

NPI number 1821210709
LBN Legal business name Jabczynski, Micelle Lynn
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1821210709 NPPES
Wisconsin MEDICAID 42572700

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