Jusula, Dane
Jusula, Dane is an individual health care provider with primary practice located at 475 Chippewa Mall Dr , Chippewa Falls WI 54729-5034. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jusula, Dane can be contacted via phone (715) 720-3780.Contact Information
Primary practice address
475 Chippewa Mall Dr
Chippewa Falls WI 54729-5034
Phone: (715) 720-3780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8737-123 | Wisconsin |
Profile Details
| NPI number | 1770002214 |
|---|---|
| LBN Legal business name | Jusula, Dane |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2017 |
| Last updated | Sep 15th, 2017 - about 7 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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