Jensen, Roberta Mae

Jensen, Roberta Mae is an individual health care provider with primary practice located at 424 Douglas St , Rhinelander WI 54501-2419. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jensen, Roberta Mae can be contacted via phone (715) 362-5244.

Contact Information

Primary practice address
424 Douglas St Rhinelander WI 54501-2419
Phone: (715) 362-5244
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1669432340
LBN Legal business name Jensen, Roberta Mae
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Jul 9th, 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 1669432340 NPPES
Wisconsin MEDICAID 38321500

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