Cottrell, Jean

Cottrell, Jean is an sole proprietor health care provider with primary practice located at 118 Shore Dr , Mukwonago WI 53149-1315. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Cottrell, Jean can be contacted via phone (262) 363-4429.

Contact Information

Primary practice address
118 Shore Dr Mukwonago WI 53149-1315
Phone: (262) 363-4429
Fax: (262) 363-0558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 75622-030 Wisconsin

Profile Details

NPI number 1932389103
LBN Legal business name Cottrell, Jean
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2007
Last updated Nov 5th, 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 1932389103 NPPES
Wisconsin MEDICAID 35045100

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