Heinemann, Jennifer A
Heinemann, Jennifer A is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Dept Of Psychiatry, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Heinemann, Jennifer A can be contacted via phone (414) 805-3666.Contact Information
Primary practice address
9200 W Wisconsin Ave Dept Of Psychiatry
Milwaukee WI 53226-3522
Phone: (414) 805-3666
Fax: (414) 955-6282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health | 103TH0004X | 2333-057 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2333 | Wisconsin |
Profile Details
| NPI number | 1770538480 |
|---|---|
| LBN Legal business name | Heinemann, Jennifer A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Oct 24th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770538480 | NPPES |
| Wyoming | MEDICAID | 39134400 |
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