Hagen, Jessica Dawn
Hagen, Jessica Dawn is an individual health care provider with primary practice located at 5330 W. Villard Avenue , Milwaukee WI 53218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hagen, Jessica Dawn can be contacted via phone (414) 463-9159.Contact Information
Primary practice address
5330 W. Villard Avenue
Milwaukee WI 53218
Phone: (414) 463-9159
Fax: (414) 831-0422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2478-023 | Wisconsin |
Profile Details
| NPI number | 1194956417 |
|---|---|
| LBN Legal business name | Hagen, Jessica Dawn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2009 |
| Last updated | Sep 21st, 2012 - about 14 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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