| Susan Jost Llc | |
|
3970 N Oakland Ave Ste 408 Shorewood WI 53211-2265 | |
| (503) 329-1431 | |
| Not Available |
| Full Name | Susan Jost Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3970 N Oakland Ave Ste 408, Shorewood, Wisconsin |
| Authorized Official Name and Position | Susan Jost (OWNER) |
| Authorized Official Contact | 5033291431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Jost Llc 3970 N Oakland Ave Ste 408 Shorewood WI 53211-2265 Ph: (503) 329-1431 | Susan Jost Llc 3970 N Oakland Ave Ste 408 Shorewood WI 53211-2265 Ph: (503) 329-1431 |
| NPI Number | 1447078654 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447078654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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