Renard, Jamie Lynn

Renard, Jamie Lynn is an individual health care provider with primary practice located at 23 W. Scott St. , Fond Du Lac WI 54935. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Renard, Jamie Lynn can be contacted via phone (920) 926-0101.

Contact Information

Primary practice address
23 W. Scott St. Fond Du Lac WI 54935
Phone: (920) 926-0101
Fax: (920) 926-0060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15531130 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Wisconsin

Profile Details

NPI number 1992960017
LBN Legal business name Renard, Jamie Lynn
Credentials BS, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated May 24th, 2016 - about 8 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 1992960017 NPPES
Wisconsin MEDICAID 100013805

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