Jacobs, Julie A
Jacobs, Julie A is an individual health care provider with primary practice located at 519 Midland Ct Suite #102, Janesville WI 53546-2336. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacobs, Julie A can be contacted via phone (608) 756-9090.Contact Information
Primary practice address
519 Midland Ct Suite #102
Janesville WI 53546-2336
Phone: (608) 756-9090
Fax: (608) 756-2920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 882-057 | Wisconsin |
Profile Details
| NPI number | 1386671485 |
|---|---|
| LBN Legal business name | Jacobs, Julie A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1386671485 | NPPES |
| Wisconsin | MEDICAID | 39046200 |
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