Kohl, Becky Lynn Jaracz

Kohl, Becky Lynn Jaracz is an individual health care provider with primary practice located at 611 E Sherman Ave , Fort Atkinson WI 53538-1960. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kohl, Becky Lynn Jaracz can be contacted via phone (920) 568-5330.

Contact Information

Primary practice address
611 E Sherman Ave Fort Atkinson WI 53538-1960
Phone: (920) 568-5330
Fax: (920) 568-5075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1576023 Wisconsin

Profile Details

NPI number 1811018468
LBN Legal business name Kohl, Becky Lynn Jaracz
Credentials MS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Sep 17th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811018468 NPPES
Wisconsin MEDICAID 43023100

Popular Providers