Dill, Jean E

Dill, Jean E is an individual health care provider with primary practice located at 1611 S Madison St , Appleton WI 54915-1844. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dill, Jean E can be contacted via phone (920) 730-5470.

Contact Information

Primary practice address
1611 S Madison St Appleton WI 54915-1844
Phone: (920) 730-5470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2388033 Wisconsin

Profile Details

NPI number 1790757243
LBN Legal business name Dill, Jean E
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 10th, 2021 - about 5 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 1790757243 NPPES
Wisconsin MEDICAID 41177600

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