Sailo, Jacklin A

Sailo, Jacklin A is an individual health care provider with primary practice located at 8201 Mish Ko Swen Dr , Crandon WI 54520-8631. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sailo, Jacklin A can be contacted via phone (715) 478-4300.

Contact Information

Primary practice address
8201 Mish Ko Swen Dr Crandon WI 54520-8631
Phone: (715) 478-4300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704225343 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4300-33 Wisconsin

Profile Details

NPI number 1053619387
LBN Legal business name Sailo, Jacklin A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2011
Last updated Dec 30th, 2014 - about 12 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 1053619387 NPPES
Michigan Other P01015484 RR MEDICARE
Michigan MEDICAID 1053619387 RR MEDICARE
Michigan Other 0871496 RR MEDICARE

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