North, Jill M
North, Jill M is an individual health care provider with primary practice located at 3111 W Rawson Ave Suite 215, Franklin WI 53132-9417. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. North, Jill M can be contacted via phone (414) 761-0727.Contact Information
Primary practice address
3111 W Rawson Ave Suite 215
Franklin WI 53132-9417
Phone: (414) 761-0727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 687-026 | Wisconsin |
Profile Details
| NPI number | 1700021763 |
|---|---|
| LBN Legal business name | North, Jill M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2008 |
| Last updated | May 6th, 2021 - about 5 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 | 1700021763 | NPPES |
| Wisconsin | MEDICAID | 1700021763 |
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