Dillaber, Jolie A

Dillaber, Jolie A is an individual health care provider with primary practice located at 104 George St , Pewaukee WI 53072-3504. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Dillaber, Jolie A can be contacted via phone (262) 691-1299.

Contact Information

Primary practice address
104 George St Pewaukee WI 53072-3504
Phone: (262) 691-1299
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1679767479
LBN Legal business name Dillaber, Jolie A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2007
Last updated Oct 29th, 2007 - about 19 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 1679767479 NPPES
Wisconsin MEDICAID 350-38-900

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