Von Der Linden, Jayne E
Von Der Linden, Jayne E is an individual health care provider with primary practice located at 300 Crooks St , Green Bay WI 54301-4527. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Von Der Linden, Jayne E can be contacted via phone (920) 436-6800.Contact Information
Primary practice address
300 Crooks St
Green Bay WI 54301-4527
Phone: (920) 436-6800
Fax: (920) 432-5966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4289123 | Wisconsin |
Profile Details
| NPI number | 1003871740 |
|---|---|
| LBN Legal business name | Von Der Linden, Jayne E |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Apr 22nd, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003871740 | NPPES |
| Wisconsin | MEDICAID | 43559200 | |
| Wisconsin | Other | P00214690 |
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