Timm, Jessica Rose

Timm, Jessica Rose is an individual health care provider with primary practice located at W6608 Rickey Ln , Greenville WI 54942-8529. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Timm, Jessica Rose can be contacted via phone (920) 366-3043.

Contact Information

Primary practice address
W6608 Rickey Ln Greenville WI 54942-8529
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2371-154 Wisconsin

Profile Details

NPI number 1780880914
LBN Legal business name Timm, Jessica Rose
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Sep 30th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780880914 NPPES
Wisconsin MEDICAID 1366431173

Popular Providers