Damon, Rachel R

Damon, Rachel R is an individual health care provider with primary practice located at 239 Trowbridge Dr , Fond Du Lac WI 54937-9180. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Damon, Rachel R can be contacted via phone (920) 923-7950.

Contact Information

Primary practice address
239 Trowbridge Dr Fond Du Lac WI 54937-9180
Phone: (920) 923-7950
Fax: (920) 356-0719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2633 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2633-33 Wisconsin

Profile Details

NPI number 1487798070
LBN Legal business name Damon, Rachel R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated May 5th, 2022 - about 2 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 1487798070 NPPES
Wisconsin Other 2028274 PHYSICIANS PLUS
Wisconsin MEDICAID 36027400 PHYSICIANS PLUS
Wisconsin Other 61267 PHYSICIANS PLUS

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