Michaud, Jessica Beth
Michaud, Jessica Beth is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as her primary health care specialty. Michaud, Jessica Beth can be contacted via phone (414) 805-6575.Contact Information
Primary practice address
9200 W Wisconsin Ave
Milwaukee WI 53226-3522
Phone: (414) 805-6575
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 051.289448 | Illinois |
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 16578-40 | Wisconsin |
Profile Details
NPI number | 1649338682 |
---|---|
LBN Legal business name | Michaud, Jessica Beth |
Credentials | PHARM.D., BCPS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 4th, 2006 |
Last updated | Nov 21st, 2012 - about 12 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 | 1649338682 | NPPES |
Illinois | Other | 051.289448 | IL STATE LICENSE |
Illinois | Other | 16578-40 | IL STATE LICENSE |
Illinois | Other | 03-1-24675 | IL STATE LICENSE |
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