Hickey, Jenny M
Hickey, Jenny M is an individual health care provider with primary practice located at 3860 Monroe Rd , De Pere WI 54115-8399. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hickey, Jenny M can be contacted via phone (920) 272-1200.Contact Information
Primary practice address
3860 Monroe Rd
De Pere WI 54115-8399
Phone: (920) 272-1200
Fax: (920) 272-1201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6489-125 | Wisconsin |
Profile Details
| NPI number | 1407377633 |
|---|---|
| LBN Legal business name | Hickey, Jenny M |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2017 |
| Last updated | Mar 14th, 2024 - about 2 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 | 1407377633 | NPPES |
| Wisconsin | MEDICAID | 100068818 |
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