Bagin, Jean
Bagin, Jean is an individual health care provider with primary practice located at N14W23900 Stone Ridge Dr Prohealth Care Medical Associates Inc., Waukesha WI 53188-1135. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bagin, Jean can be contacted via phone (262) 574-8000.Contact Information
Primary practice address
N14W23900 Stone Ridge Dr Prohealth Care Medical Associates Inc.
Waukesha WI 53188-1135
Phone: (262) 574-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1728 | Wisconsin |
Profile Details
| NPI number | 1710947064 |
|---|---|
| LBN Legal business name | Bagin, Jean |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jul 25th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710947064 | NPPES |
| Wisconsin | MEDICAID | 43937600 |
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