Weis, Jo M

Weis, Jo M is an individual health care provider with primary practice located at 1155 North Mayfair Road Behavioral Health Clinic @ Tosa, Milwaukee WI 53226. 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. Weis, Jo M can be contacted via phone (414) 955-8900.

Contact Information

Primary practice address
1155 North Mayfair Road Behavioral Health Clinic @ Tosa Milwaukee WI 53226
Phone: (414) 955-8900
Fax: (414) 955-6285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 2245 Wisconsin

Profile Details

NPI number 1841242294
LBN Legal business name Weis, Jo M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 26th, 2014 - about 10 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 1841242294 NPPES
Wisconsin MEDICAID 1841242294
Wisconsin Other 004006261J

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