Bowman, Jessica A.

Bowman, Jessica A. is an individual health care provider with primary practice located at 571 County Road A , Green Lake WI 54941-8630. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bowman, Jessica A. can be contacted via phone (920) 294-4070.

Contact Information

Primary practice address
571 County Road A Green Lake WI 54941-8630
Phone: (920) 294-4070
Fax: (920) 294-4139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8844-123 Wisconsin

Profile Details

NPI number 1144770959
LBN Legal business name Bowman, Jessica A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2016
Last updated May 22nd, 2019 - about 7 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 1144770959 NPPES
Wisconsin Other 130094-121 APSW - WISCONSIN STATE BOARD
Wisconsin MEDICAID 100061173 APSW - WISCONSIN STATE BOARD

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