Portillo, Jesse
Portillo, Jesse is an sole proprietor health care provider with primary practice located at 1191 Huntington Ave , Wisconsin Rapids WI 54494-6364. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Portillo, Jesse can be contacted via phone (715) 213-3570.Contact Information
Primary practice address
1191 Huntington Ave
Wisconsin Rapids WI 54494-6364
Phone: (715) 213-3570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7040-226 | Wisconsin |
Profile Details
| NPI number | 1962136879 |
|---|---|
| LBN Legal business name | Portillo, Jesse |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2022 |
| Last updated | Jul 15th, 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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