Destache, Jamie

Destache, Jamie is an individual health care provider with primary practice located at 2050 4Th Ave , Stevens Point WI 54481-1910. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Destache, Jamie can be contacted via phone (262) 527-5200.

Contact Information

Primary practice address
2050 4Th Ave Stevens Point WI 54481-1910
Phone: (262) 527-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1558748780
LBN Legal business name Destache, Jamie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2015
Last updated Aug 8th, 2016 - about 10 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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