Individual
JASON T HINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
2000 N OXFORD AVE STE 4, EAU CLAIRE, WI 54703-5187
(715) 834-1078
(715) 834-1218
Mailing address
2000 N OXFORD AVE STE 4, EAU CLAIRE, WI 54703-5187
(715) 834-1078
(715) 834-1218
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
15700 130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15700
STATE OF WISCONSIN DEPT. OF REG. AND LICENSING
WI
Enumeration date
09/13/2010
Last updated
09/13/2010
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