Elliott, Jane M

Elliott, Jane M is an individual health care provider with primary practice located at 200 S Executive Dr Suite 101, Brookfield WI 53005-4216. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Elliott, Jane M can be contacted via phone (888) 964-6681.

Contact Information

Primary practice address
200 S Executive Dr Suite 101 Brookfield WI 53005-4216
Phone: (888) 964-6681
Fax: (888) 662-0859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 477-156 Wisconsin

Profile Details

NPI number 1114080009
LBN Legal business name Elliott, Jane M
Credentials CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 2nd, 2012 - about 14 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 1114080009 NPPES
Wisconsin MEDICAID 41152700

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