Krejcie, Jill L
Krejcie, Jill L is an individual health care provider with primary practice located at 1141 W Main Ave Ste 201 , De Pere WI 54115-1695. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Krejcie, Jill L can be contacted via phone (920) 338-1610.Contact Information
Primary practice address
1141 W Main Ave Ste 201
De Pere WI 54115-1695
Phone: (920) 338-1610
Fax: (920) 338-1616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 796-124 | Wisconsin |
Profile Details
| NPI number | 1942467220 |
|---|---|
| LBN Legal business name | Krejcie, Jill L |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2008 |
| Last updated | Mar 17th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942467220 | NPPES |
| Wisconsin | MEDICAID | 43737400 |
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