Jedlicka, Edward Joseph

Jedlicka, Edward Joseph is an individual health care provider with primary practice located at 40 Camelot Dr , Fond Du Lac WI 54935-8049. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Jedlicka, Edward Joseph can be contacted via phone (920) 907-8201.

Contact Information

Primary practice address
40 Camelot Dr Fond Du Lac WI 54935-8049
Phone: (920) 907-8201
Fax: (920) 907-8209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2239-125 Wisconsin

Profile Details

NPI number 1467737346
LBN Legal business name Jedlicka, Edward Joseph
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2011
Last updated Mar 9th, 2023 - about 3 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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