Provider Demographics
NPI:1992556591
Name:JENKINS PRIVATE FINANCIAL GROUP LLC
Entity type:Organization
Organization Name:JENKINS PRIVATE FINANCIAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SADI
Authorized Official - Middle Name:
Authorized Official - Last Name:WATERSTRAAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-217-4800
Mailing Address - Street 1:4300 W LINCOLN AVE STE 340222
Mailing Address - Street 2:
Mailing Address - City:WEST MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53219-5012
Mailing Address - Country:US
Mailing Address - Phone:262-217-4800
Mailing Address - Fax:
Practice Address - Street 1:4300 W LINCOLN AVE STE 340222
Practice Address - Street 2:
Practice Address - City:WEST MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53219-5012
Practice Address - Country:US
Practice Address - Phone:262-217-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or Charitable
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No282J00000XHospitalsReligious Nonmedical Health Care Institution
No332U00000XSuppliersHome Delivered Meals
No347C00000XTransportation ServicesPrivate Vehicle