Jacobs, Nancy

Jacobs, Nancy is an individual health care provider with primary practice located at 1100 Lake View Dr , Wausau WI 54403-6785. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Jacobs, Nancy can be contacted via phone (715) 848-4600.

Contact Information

Primary practice address
1100 Lake View Dr Wausau WI 54403-6785
Phone: (715) 848-4600
Fax: (715) 845-5398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2187 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 10600-031 Wisconsin

Profile Details

NPI number 1194737114
LBN Legal business name Jacobs, Nancy
Credentials CADC III
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 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 1194737114 NPPES
Wisconsin MEDICAID 39389300

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