Tangen, Jessica Rae

Tangen, Jessica Rae is an sole proprietor health care provider with primary practice located at 449 Overlook Pass , Hudson WI 54016-7547. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Tangen, Jessica Rae can be contacted via phone (320) 221-0443.

Contact Information

Primary practice address
449 Overlook Pass Hudson WI 54016-7547
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-49688

Profile Details

NPI number 1649710732
LBN Legal business name Tangen, Jessica Rae
Credentials IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2017
Last updated Mar 8th, 2017 - about 9 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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