Cipres-Jaucian, Rose M

Cipres-Jaucian, Rose M is an individual health care provider with primary practice located at 1723 Spring Hills Ln , De Pere WI 54115-8369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Cipres-Jaucian, Rose M can be contacted via phone (920) 403-7982.

Contact Information

Primary practice address
1723 Spring Hills Ln De Pere WI 54115-8369
Phone: (920) 403-7982
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01056207A Indiana
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 22782-20 Wisconsin

Profile Details

NPI number 1003867417
LBN Legal business name Cipres-Jaucian, Rose M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 10th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003867417 NPPES
Indiana MEDICAID 200935420
Indiana MEDICAID 34540600
Indiana Other 009906261I
Indiana Other 000000603384

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