Wiseman, Jackie
Wiseman, Jackie is an individual health care provider with primary practice located at 615 5Th St # 300 , Brookings OR 97415-9199. 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. Wiseman, Jackie can be contacted via phone (877) 408-8941.Contact Information
Primary practice address
615 5Th St # 300
Brookings OR 97415-9199
Phone: (877) 408-8941
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1184486441 |
|---|---|
| LBN Legal business name | Wiseman, Jackie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2024 |
| Last updated | Jan 23rd, 2024 - about last year |
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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