Schmidt, Jody Robert

Schmidt, Jody Robert is an individual health care provider with primary practice located at 721 American Ave Suite 501, Waukesha WI 53188-5071. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Schmidt, Jody Robert can be contacted via phone (262) 928-2396.

Contact Information

Primary practice address
721 American Ave Suite 501 Waukesha WI 53188-5071
Phone: (262) 928-2396
Fax: (262) 544-1213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1813 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4129-123 Wisconsin

Profile Details

NPI number 1275698748
LBN Legal business name Schmidt, Jody Robert
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1275698748 NPPES
Wisconsin MEDICAID 39732900

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