Lundberg, Jill
Lundberg, Jill is an sole proprietor health care provider with primary practice located at 5927 Schumann Dr , Fitchburg WI 53711-5104. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Lundberg, Jill can be contacted via phone (608) 444-7035.Contact Information
Primary practice address
5927 Schumann Dr
Fitchburg WI 53711-5104
Phone: (608) 444-7035
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 117062 |
Profile Details
| NPI number | 1861808495 |
|---|---|
| LBN Legal business name | Lundberg, Jill |
| Credentials | RYT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2014 |
| Last updated | Jul 2nd, 2014 - about 12 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 | 1861808495 | NPPES |
| Other | 117062 | YOGA ALLIANCE REGISTRY ID |
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