Maxey, Jill Walter

Maxey, Jill Walter is an individual health care provider with primary practice located at 901 N. 6Th Street , Wausau WI 54403-4718. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Maxey, Jill Walter can be contacted via phone (715) 848-5022.

Contact Information

Primary practice address
901 N. 6Th Street Wausau WI 54403-4718
Phone: (715) 848-5022
Fax: (888) 778-6750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2778-125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1770602872
LBN Legal business name Maxey, Jill Walter
Credentials MS LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Dec 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770602872 NPPES
Wisconsin MEDICAID 40922500

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