Wesch, Jerry Edward

Wesch, Jerry Edward is an sole proprietor health care provider with primary practice located at 2235 Whippet Way , Sedona AZ 86336-5905. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wesch, Jerry Edward can be contacted via phone (773) 875-5483.

Contact Information

Primary practice address
2235 Whippet Way Sedona AZ 86336-5905
Phone: (773) 875-5483
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-003536 Illinois
Behavioral Health & Social Service Providers / Health Service 103TH0100X 071-003536 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4652 Arizona

Profile Details

NPI number 1285629261
LBN Legal business name Wesch, Jerry Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Sep 22nd, 2015 - about 9 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 1285629261 NPPES
Illinois Other 680014846 MEDICARE RR

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