Fanslau, Jaclyn Ann
Fanslau, Jaclyn Ann is an sole proprietor health care provider with primary practice located at 926 Swift Ave , Sheboygan WI 53081-6046. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Fanslau, Jaclyn Ann can be contacted via phone (920) 459-0766.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | Wisconsin |
Profile Details
| NPI number | 1851517536 |
|---|---|
| LBN Legal business name | Fanslau, Jaclyn Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851517536 | NPPES |
| Wisconsin | MEDICAID | 35013600 |
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