Nagro, Jean Marie

Nagro, Jean Marie is an sole proprietor health care provider with primary practice located at N64W38192 Lac La Belle Dr , Oconomowoc WI 53066-1653. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Nagro, Jean Marie can be contacted via phone (262) 370-3380.

Contact Information

Primary practice address
N64W38192 Lac La Belle Dr Oconomowoc WI 53066-1653
Phone: (262) 370-3380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 696019 Wisconsin

Profile Details

NPI number 1356517643
LBN Legal business name Nagro, Jean Marie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2008
Last updated May 14th, 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 1356517643 NPPES
Wisconsin MEDICAID 40174100

Popular Providers