Brookshaw, Jasen Kenneth

Brookshaw, Jasen Kenneth is an individual health care provider with primary practice located at 320 S Access Rd , Rice Lake WI 54868-8572. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brookshaw, Jasen Kenneth can be contacted via phone (715) 236-7414.

Contact Information

Primary practice address
320 S Access Rd Rice Lake WI 54868-8572
Phone: (715) 236-7414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 16693-40 Wisconsin
Pharmacy Service Providers / Pharmacist 183500000X 121036 Minnesota

Profile Details

NPI number 1528312345
LBN Legal business name Brookshaw, Jasen Kenneth
Credentials PHARMD, RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2012
Last updated Oct 31st, 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.

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