Sullivan, Jessica
Sullivan, Jessica is an sole proprietor health care provider with primary practice located at 925 Elm Grove Rd Ste 303 , Elm Grove WI 53122-2572. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sullivan, Jessica can be contacted via phone (414) 375-9314.Contact Information
Primary practice address
925 Elm Grove Rd Ste 303
Elm Grove WI 53122-2572
Phone: (414) 375-9314
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4600-226 | Wisconsin |
Profile Details
| NPI number | 1013543834 |
|---|---|
| LBN Legal business name | Sullivan, Jessica |
| Credentials | LPC-IT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2020 |
| Last updated | Mar 13th, 2020 - about 6 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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