Anderson, Jaclyn Kate

Anderson, Jaclyn Kate is an sole proprietor health care provider with primary practice located at N7770 Loyalty Rd , Blanchardville WI 53516-9624. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Anderson, Jaclyn Kate can be contacted via phone (608) 214-0173.

Contact Information

Primary practice address
N7770 Loyalty Rd Blanchardville WI 53516-9624
Phone: (608) 214-0173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 314220031 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 191453-30 Wisconsin

Profile Details

NPI number 1033485214
LBN Legal business name Anderson, Jaclyn Kate
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2012
Last updated Aug 1st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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