Jeske, Alexander

Jeske, Alexander is an individual health care provider with primary practice located at 2424 S 90Th St , West Allis WI 53227-2455. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Jeske, Alexander can be contacted via phone (414) 773-4312.

Contact Information

Primary practice address
2424 S 90Th St West Allis WI 53227-2455
Phone: (414) 773-4312
Fax: (414) 329-5637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5739-125 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5739 Wisconsin

Profile Details

NPI number 1194101550
LBN Legal business name Jeske, Alexander
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2015
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194101550 NPPES
Wisconsin MEDICAID 100245738

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