Jester, Billie Jo Marie

Jester, Billie Jo Marie is an sole proprietor health care provider with primary practice located at 704 Sand Lake Rd Ste 205 , Onalaska WI 54650-2456. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jester, Billie Jo Marie can be contacted via phone (608) 519-1400.

Contact Information

Primary practice address
704 Sand Lake Rd Ste 205 Onalaska WI 54650-2456
Fax: (608) 519-0446
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 8438-123 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 127801-121 Wisconsin

Profile Details

NPI number 1154665206
LBN Legal business name Jester, Billie Jo Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Jul 17th, 2020 - about 4 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 1154665206 NPPES
Wisconsin MEDICAID 100026804

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