Jeffrey L Polczinski Psyd Llc

LBN: Jeffrey L Polczinski Psyd Llc
Jeffrey L Polczinski Psyd Llc is an health care organization with primary practice located at 5555 N Port Washington Rd Suite 304, Glendale WI 53217. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Jeffrey L Polczinski Psyd Llc can be contacted via phone (414) 967-9550, or through Polczinski, Jeffrey L via phone (414) 967-9550.

Contact Information

Primary practice address
5555 N Port Washington Rd Suite 304 Glendale WI 53217
Phone: (414) 967-9550
Fax: (414) 967-9550
Website:
Map and Directions
Authorized official contact:
Name: Polczinski, Jeffrey L PSYD
Phone: (414) 967-9550

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1641057 Wisconsin

Profile Details

NPI number 1124291976
LBN Legal business name Jeffrey L Polczinski Psyd Llc
DBA Doing business as
Authorized official Polczinski, Jeffrey L PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2008
Last updated Oct 19th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124291976 NPPES
Wisconsin MEDICAID 39131300

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