Rousseau, Jerrold Bernard
Rousseau, Jerrold Bernard is an sole proprietor health care provider with primary practice located at 6270 N Port Washington Rd Suite 201, Glendale WI 53217-4311. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rousseau, Jerrold Bernard can be contacted via phone (414) 962-2284.Contact Information
Primary practice address
6270 N Port Washington Rd Suite 201
Glendale WI 53217-4311
Phone: (414) 962-2284
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4219-123 | Wisconsin |
Profile Details
NPI number | 1992915177 |
---|---|
LBN Legal business name | Rousseau, Jerrold Bernard |
Credentials | MSSW, LCSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 23rd, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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