Jefferson, Ginger Loren

Jefferson, Ginger Loren is an sole proprietor health care provider with primary practice located at 2947 N 26Th St , Milwaukee WI 53206-1122. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jefferson, Ginger Loren can be contacted via phone (414) 873-1476.

Contact Information

Primary practice address
2947 N 26Th St Milwaukee WI 53206-1122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 305902-031 Wisconsin

Profile Details

NPI number 1508096348
LBN Legal business name Jefferson, Ginger Loren
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2009
Last updated Jul 14th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508096348 NPPES
Wisconsin MEDICAID 35027700

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