Jaeger-Jacobs, Amanda Rene
Jaeger-Jacobs, Amanda Rene is an sole proprietor health care provider with primary practice located at N845 Oak Ridge Dr , Oconomowoc WI 53066-9593. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jaeger-Jacobs, Amanda Rene can be contacted via phone (920) 355-4200.Contact Information
Primary practice address
N845 Oak Ridge Dr
Oconomowoc WI 53066-9593
Phone: (920) 355-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 129072-030 | Wisconsin |
Profile Details
| NPI number | 1548437304 |
|---|---|
| LBN Legal business name | Jaeger-Jacobs, Amanda Rene |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2008 |
| Last updated | May 12th, 2008 - about 18 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 | 1548437304 | NPPES |
| Wisconsin | MEDICAID | 35058400 |
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