Koop Olsta, Jennifer I

Koop Olsta, Jennifer I is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Koop Olsta, Jennifer I can be contacted via phone (414) 955-0660.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Phone: (414) 955-0660
Fax: (414) 955-0076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2558 Wisconsin

Profile Details

NPI number 1053362897
LBN Legal business name Koop Olsta, Jennifer I
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated May 2nd, 2024 - about 7 months 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 1053362897 NPPES
Wisconsin MEDICAID 39149800
Wisconsin MEDICAID 1053362897

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