Jarvis, Jean Rene

Jarvis, Jean Rene is an sole proprietor health care provider with primary practice located at W5912 Dean Rd , Tomahawk WI 54487-8314. She recently has only one registered license in Nursing Service Providers / Hospice, which is considered as her primary health care specialty. Jarvis, Jean Rene can be contacted via phone (715) 966-1107.

Contact Information

Primary practice address
W5912 Dean Rd Tomahawk WI 54487-8314
Phone: (715) 966-1107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hospice 163WH1000X 144858030 Wisconsin

Profile Details

NPI number 1386810638
LBN Legal business name Jarvis, Jean Rene
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2008
Last updated May 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386810638 NPPES
Wisconsin MEDICAID 38325000

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