Keller, Jamie Elaine

Keller, Jamie Elaine is an individual health care provider with primary practice located at 4800 S 10Th St , Milwaukee WI 53221-2412. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Keller, Jamie Elaine can be contacted via phone (414) 744-5370.

Contact Information

Primary practice address
4800 S 10Th St Milwaukee WI 53221-2412
Phone: (414) 744-5370
Fax: (414) 744-9052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1644 Wisconsin

Profile Details

NPI number 1902946049
LBN Legal business name Keller, Jamie Elaine
Credentials CADCIII
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 9th, 2007 - about 19 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 1902946049 NPPES
Wisconsin MEDICAID 39375900

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