| Pjs Llc | |
|
787 Lois Dr Sun Prairie WI 53590-1177 | |
| (608) 444-0585 | |
| Not Available |
| Full Name | Pjs Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 787 Lois Dr, Sun Prairie, Wisconsin |
| Authorized Official Name and Position | Patricia Joan Szambelan (OWNER) |
| Authorized Official Contact | 6082999697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pjs Llc 787 Lois Dr Sun Prairie WI 53590-1177 Ph: (608) 299-9697 | Pjs Llc 787 Lois Dr Sun Prairie WI 53590-1177 Ph: (608) 444-0585 |
| NPI Number | 1871312884 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Medicare PECOS PAC ID | 7618404385 |
|---|---|
| Medicare Enrollment ID | O20241218003589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871312884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Patricia Joan Szambelan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275028508 PECOS PAC ID: 8527595297 Enrollment ID: I20241218003637 |
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