Klosiewski, Jennifer H

Klosiewski, Jennifer H is an individual health care provider with primary practice located at 4855 S Moorland Rd Ste 150 , New Berlin WI 53151-7495. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Klosiewski, Jennifer H can be contacted via phone (414) 425-5660.

Contact Information

Primary practice address
4855 S Moorland Rd Ste 150 New Berlin WI 53151-7495
Phone: (414) 425-5660
Fax: (414) 425-9803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X 8213-125 Wisconsin

Profile Details

NPI number 1730661877
LBN Legal business name Klosiewski, Jennifer H
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2018
Last updated Jul 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730661877 NPPES
Wisconsin MEDICAID 100102716

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