Jakubiec, Nancy Ann

Jakubiec, Nancy Ann is an sole proprietor health care provider with primary practice located at 2961 Saint Anthony Dr , Green Bay WI 54311-5860. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Jakubiec, Nancy Ann can be contacted via phone (920) 468-0861.

Contact Information

Primary practice address
2961 Saint Anthony Dr Green Bay WI 54311-5860
Phone: (920) 468-0861
Fax: (920) 468-3087
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 949-027 Wisconsin

Profile Details

NPI number 1821261082
LBN Legal business name Jakubiec, Nancy Ann
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Apr 9th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821261082 NPPES
Wisconsin MEDICAID 40737200

Popular Providers