Mccardell, Jessica
Mccardell, Jessica is an individual health care provider with primary practice located at 2414 Kohler Memorial Dr , Sheboygan WI 53081-3129. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mccardell, Jessica can be contacted via phone (920) 457-4461.Contact Information
Primary practice address
2414 Kohler Memorial Dr
Sheboygan WI 53081-3129
Phone: (920) 457-4461
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8303-123 | Wisconsin |
Profile Details
| NPI number | 1235518945 |
|---|---|
| LBN Legal business name | Mccardell, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2015 |
| Last updated | Jul 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235518945 | NPPES |
| Wisconsin | MEDICAID | 100046247 |
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