| Jill R. Turcott-nielsen, Llc | |
|
10625 W North Ave Suite 225 Wauwatosa WI 53226-2315 | |
| (414) 258-2600 | |
| (262) 796-8112 |
| Full Name | Jill R. Turcott-nielsen, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10625 W North Ave, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Jill R. Turcott-nielsen (CLINIC OWNER) |
| Authorized Official Contact | 4142582600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill R. Turcott-nielsen, Llc 10625 W North Ave Suite 225 Wauwatosa WI 53226-2315 Ph: (414) 258-2600 | Jill R. Turcott-nielsen, Llc 10625 W North Ave Suite 225 Wauwatosa WI 53226-2315 Ph: (414) 258-2600 |
| NPI Number | 1609113232 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 01/16/2013 |
| Medicare PECOS PAC ID | 7517104177 |
|---|---|
| Medicare Enrollment ID | O20130520000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609113232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2573-123 (Wisconsin) | Primary |
| Provider Name | Jill R Turcott Nielsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841349651 PECOS PAC ID: 8123062742 Enrollment ID: I20071211000469 |
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