Miskulin-Baggesen, Jaclynn Ann
Miskulin-Baggesen, Jaclynn Ann is an sole proprietor health care provider with primary practice located at 2134 Green St , Racine WI 53402-4569. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Miskulin-Baggesen, Jaclynn Ann can be contacted via phone (262) 637-3179.Contact Information
Primary practice address
2134 Green St
Racine WI 53402-4569
Phone: (262) 637-3179
Fax: (262) 637-3179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | 127497030 | Wisconsin |
Profile Details
| NPI number | 1598927014 |
|---|---|
| LBN Legal business name | Miskulin-Baggesen, Jaclynn Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2008 |
| Last updated | Jun 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598927014 | NPPES |
| Wisconsin | Other | 38231000 | WISCONSIN MEDICAID PROVIDER NUMBER |
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