Michaud, Jessica Beth

Michaud, Jessica Beth is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as her primary health care specialty. Michaud, Jessica Beth can be contacted via phone (414) 805-6575.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-6575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 051.289448 Illinois
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 16578-40 Wisconsin

Profile Details

NPI number 1649338682
LBN Legal business name Michaud, Jessica Beth
Credentials PHARM.D., BCPS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Nov 21st, 2012 - about 14 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 1649338682 NPPES
Illinois Other 051.289448 IL STATE LICENSE
Illinois Other 16578-40 IL STATE LICENSE
Illinois Other 03-1-24675 IL STATE LICENSE

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