Moglowsky, Jaclyn A
Moglowsky, Jaclyn A is an individual health care provider with primary practice located at 1240 W Ranchito Ln , Mequon WI 53092-6090. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moglowsky, Jaclyn A can be contacted via phone (262) 241-3231.Contact Information
Primary practice address
1240 W Ranchito Ln
Mequon WI 53092-6090
Phone: (262) 241-3231
Fax: (262) 241-4311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3498-125 | Wisconsin |
Profile Details
| NPI number | 1699864116 |
|---|---|
| LBN Legal business name | Moglowsky, Jaclyn A |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1699864116 | NPPES |
| Wisconsin | MEDICAID | 40957500 |
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