Mietchen, Jonathan James

Mietchen, Jonathan James is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-9469. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Mietchen, Jonathan James can be contacted via phone (608) 263-5430.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-9469
Phone: (608) 263-5430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2795 Kansas
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3815-57 Wisconsin

Profile Details

NPI number 1073030961
LBN Legal business name Mietchen, Jonathan James
Credentials T-LMLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2017
Last updated Feb 8th, 2021 - about 4 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.

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