Dominguez, Jessica L
Dominguez, Jessica L is an sole proprietor health care provider with primary practice located at 414 Broadway St Ste 101 , Baraboo WI 53913-2488. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Dominguez, Jessica L can be contacted via phone (608) 355-4103.Contact Information
Primary practice address
414 Broadway St Ste 101
Baraboo WI 53913-2488
Phone: (608) 355-4103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1295455855 |
|---|---|
| LBN Legal business name | Dominguez, Jessica L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2022 |
| Last updated | Sep 1st, 2022 - about 3 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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