Dejean, Phabian Treyvonne

Dejean, Phabian Treyvonne is an sole proprietor health care provider with primary practice located at 104 W 4Th St , Kaukauna WI 54130-2447. He recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as his primary health care specialty. Dejean, Phabian Treyvonne can be contacted via phone (920) 809-1023.

Contact Information

Primary practice address
104 W 4Th St Kaukauna WI 54130-2447
Phone: (920) 809-1023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X 0019259 Wisconsin

Profile Details

NPI number 1346950698
LBN Legal business name Dejean, Phabian Treyvonne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2022
Last updated Nov 28th, 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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