Jefferson, Shaquan L
Jefferson, Shaquan L is an sole proprietor health care provider with primary practice located at 5600 W Brown Deer Rd , Brown Deer WI 53223-2311. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jefferson, Shaquan L can be contacted via phone (414) 446-8154.Contact Information
Primary practice address
5600 W Brown Deer Rd
Brown Deer WI 53223-2311
Phone: (414) 446-8154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5428-226 | Wisconsin |
Profile Details
| NPI number | 1245956424 |
|---|---|
| LBN Legal business name | Jefferson, Shaquan L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2022 |
| Last updated | Oct 18th, 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.
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