Jurgens, Jill A
Jurgens, Jill A is an sole proprietor health care provider with primary practice located at 6918 Hubbard Ave , Middleton WI 53562-3228. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jurgens, Jill A can be contacted via phone (608) 824-0029.Contact Information
Primary practice address
6918 Hubbard Ave
Middleton WI 53562-3228
Phone: (608) 824-0029
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | Wisconsin |
Profile Details
| NPI number | 1013108737 |
|---|---|
| LBN Legal business name | Jurgens, Jill A |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2007 |
| Last updated | Aug 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013108737 | NPPES |
| Wisconsin | MEDICAID | 35020300 |
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