Blank, Jill

Blank, Jill is an individual health care provider with primary practice located at 1020 Kabel Ave , Rhinelander WI 54501. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Blank, Jill can be contacted via phone (715) 361-2805.

Contact Information

Primary practice address
1020 Kabel Ave Rhinelander WI 54501
Phone: (715) 361-2805
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149003320 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 7756 Wisconsin

Profile Details

NPI number 1083802375
LBN Legal business name Blank, Jill
Credentials MSW,LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Sep 28th, 2018 - about 8 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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