Borchardt, Jaclyn Menzel

Borchardt, Jaclyn Menzel is an individual health care provider with primary practice located at 1834 W Wisconsin Ave Lower Level, Milwaukee WI 53233-2125. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Borchardt, Jaclyn Menzel can be contacted via phone (414) 933-9813.

Contact Information

Primary practice address
1834 W Wisconsin Ave Lower Level Milwaukee WI 53233-2125
Phone: (414) 933-9813
Fax: (414) 933-1522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2849154 Wisconsin

Profile Details

NPI number 1669694998
LBN Legal business name Borchardt, Jaclyn Menzel
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Nov 2nd, 2009 - about 17 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 1669694998 NPPES
Wisconsin MEDICAID 42582500

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