Ashline-Schultz, Jacqueline M

Ashline-Schultz, Jacqueline M is an individual health care provider with primary practice located at 530 Wi Dells Pkwy S , Lake Delton WI 53940-0390. 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 / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ashline-Schultz, Jacqueline M can be contacted via phone (608) 254-5400.

Contact Information

Primary practice address
530 Wi Dells Pkwy S Lake Delton WI 53940-0390
Phone: (608) 254-5400
Fax: (608) 253-8585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2455-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X Wisconsin

Profile Details

NPI number 1659337962
LBN Legal business name Ashline-Schultz, Jacqueline M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 9th, 2007 - about 17 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 1659337962 NPPES
Wisconsin Other 60296 DEAN HEALTH INSURANCE
Wisconsin Other 1044636 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 41190500 DEAN HEALTH INSURANCE

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