Jindrich, Patricia L.
Jindrich, Patricia L. is an sole proprietor health care provider with primary practice located at 6530 Sheridan Rd Suite 7, Kenosha WI 53143-5063. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jindrich, Patricia L. can be contacted via phone (262) 857-8707.Contact Information
Primary practice address
6530 Sheridan Rd Suite 7
Kenosha WI 53143-5063
Phone: (262) 857-8707
Fax: (262) 862-7703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3493-125 | Wisconsin |
Profile Details
| NPI number | 1164546818 |
|---|---|
| LBN Legal business name | Jindrich, Patricia L. |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Sep 26th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164546818 | NPPES |
| Wisconsin | Other | 43706600 | WISCONSIN MEDICAID |
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