Dziedzic, Rachel Lynn

Dziedzic, Rachel Lynn is an individual health care provider with primary practice located at 314 Salisbury Rd , West Bend WI 53090-1636. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Home Health is her primary health care specialty. Dziedzic, Rachel Lynn can be contacted via phone (262) 224-2995.

Contact Information

Primary practice address
314 Salisbury Rd West Bend WI 53090-1636
Phone: (262) 224-2995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1881745370
LBN Legal business name Dziedzic, Rachel Lynn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2007
Last updated Jul 9th, 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 1881745370 NPPES
Wisconsin MEDICAID 35022600

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