Miller, Jennifer Katherine

Miller, Jennifer Katherine is an sole proprietor health care provider with primary practice located at 710 Pennsylvania Ave , Sheboygan WI 53081-4645. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Miller, Jennifer Katherine can be contacted via phone (920) 694-1264.

Contact Information

Primary practice address
710 Pennsylvania Ave Sheboygan WI 53081-4645
Phone: (920) 694-1264
Fax: (920) 694-1299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1668-226 Wisconsin

Profile Details

NPI number 1942611579
LBN Legal business name Miller, Jennifer Katherine
Credentials LPC-IT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2014
Last updated May 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942611579 NPPES
Wisconsin MEDICAID 1668-226

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