Wheeler, Jennifer

Wheeler, Jennifer is an individual health care provider with primary practice located at 30632 Hampden Ave , Princess Anne MD 21853-1009. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wheeler, Jennifer can be contacted via phone (410) 651-1437.

Contact Information

Primary practice address
30632 Hampden Ave Princess Anne MD 21853-1009
Phone: (410) 651-1437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 17569 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X Q1-0001144 Delaware

Profile Details

NPI number 1639338767
LBN Legal business name Wheeler, Jennifer
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2008
Last updated May 30th, 2012 - about 12 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 1639338767 NPPES
Maryland MEDICAID 119591300

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