Waddell, Jodi Lorene
Waddell, Jodi Lorene is an sole proprietor health care provider with primary practice located at 124 Grayside Ave , Mauston WI 53948-1913. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Waddell, Jodi Lorene can be contacted via phone (608) 847-7575.Contact Information
Primary practice address
124 Grayside Ave
Mauston WI 53948-1913
Phone: (608) 847-7575
Fax: (608) 847-3096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1972272755 |
|---|---|
| LBN Legal business name | Waddell, Jodi Lorene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2021 |
| Last updated | Sep 7th, 2021 - 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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