Pfannerstill Purnell, Jennifer R

Pfannerstill Purnell, Jennifer R is an individual health care provider with primary practice located at 1655 W Mequon Rd , Mequon WI 53092-3254. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pfannerstill Purnell, Jennifer R can be contacted via phone (414) 266-3339.

Contact Information

Primary practice address
1655 W Mequon Rd Mequon WI 53092-3254
Phone: (414) 266-3339
Fax: (262) 240-9745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6895-123 Wisconsin

Profile Details

NPI number 1760598221
LBN Legal business name Pfannerstill Purnell, Jennifer R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jan 18th, 2022 - about 3 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 1760598221 NPPES
Wisconsin MEDICAID 1760598221
Wisconsin MEDICAID 40964300

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