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:
Health care specialties
Specialty | Code | License # | 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 17 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 | 1902946049 | NPPES |
Wisconsin | MEDICAID | 39375900 |
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