| I5 Consulting, Llc | |
|
6100 N 42nd St Milwaukee WI 53209-3560 | |
| (414) 232-0077 | |
| Not Available |
| Full Name | I5 Consulting, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6100 N 42nd St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | John Nathaniel Greene (PRINCIPAL) |
| Authorized Official Contact | 4142320077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I5 Consulting, Llc 9484 N Fairway Dr Bayside WI 53217-1321 Ph: (414) 232-0077 | I5 Consulting, Llc 6100 N 42nd St Milwaukee WI 53209-3560 Ph: (414) 232-0077 |
| NPI Number | 1730744368 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 05/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730744368 | NPI | - | NPPES |
| I04292019001652 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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