Depagter, Jennifer
Depagter, Jennifer is an individual health care provider with primary practice located at 3200 Pleasant Valley Rd , West Bend WI 53095-9274. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Depagter, Jennifer can be contacted via phone (262) 836-7300.Contact Information
Primary practice address
3200 Pleasant Valley Rd
West Bend WI 53095-9274
Phone: (262) 836-7300
Fax: (262) 836-7301
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 2417 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 11577 | Wisconsin |
Profile Details
NPI number | 1669012845 |
---|---|
LBN Legal business name | Depagter, Jennifer |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 15th, 2020 |
Last updated | May 9th, 2024 - about 4 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669012845 | NPPES |
Wisconsin | MEDICAID | 1669012845 |
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