Ebert, Jacqueline
Ebert, Jacqueline is an sole proprietor health care provider with primary practice located at 830 Edgewood Dr , Green Bay WI 54311-5204. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Ebert, Jacqueline can be contacted via phone (920) 465-9977.Contact Information
Primary practice address
830 Edgewood Dr
Green Bay WI 54311-5204
Phone: (920) 465-9977
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1245876374 |
|---|---|
| LBN Legal business name | Ebert, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 25th, 2019 |
| Last updated | Nov 25th, 2019 - about 6 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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