Maxey, Jill Walter
Maxey, Jill Walter is an individual health care provider with primary practice located at 901 N. 6Th Street , Wausau WI 54403-4718. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Maxey, Jill Walter can be contacted via phone (715) 848-5022.Contact Information
Primary practice address
901 N. 6Th Street
Wausau WI 54403-4718
Phone: (715) 848-5022
Fax: (888) 778-6750
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2778-125 | Wisconsin |
Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
NPI number | 1770602872 |
---|---|
LBN Legal business name | Maxey, Jill Walter |
Credentials | MS LPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2007 |
Last updated | Dec 5th, 2014 - about 10 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 | 1770602872 | NPPES |
Wisconsin | MEDICAID | 40922500 |
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