Borst, Jennifer M

Borst, Jennifer M is an individual health care provider with primary practice located at 412 W Kinne St Pierce Co. Public Health, Ellsworth WI 54011-9230. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Borst, Jennifer M can be contacted via phone (715) 273-6755.

Contact Information

Primary practice address
412 W Kinne St Pierce Co. Public Health Ellsworth WI 54011-9230
Phone: (715) 273-6755
Fax: (715) 273-6854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 9681-016 Wisconsin

Profile Details

NPI number 1841484904
LBN Legal business name Borst, Jennifer M
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Aug 31st, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841484904 NPPES
Wisconsin MEDICAID 33813400

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