Everts, Jacqueline Ann

Everts, Jacqueline Ann is an individual health care provider with primary practice located at E897 Tammy Trl , Waupaca WI 54981-8008. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Everts, Jacqueline Ann can be contacted via phone (920) 810-0561.

Contact Information

Primary practice address
E897 Tammy Trl Waupaca WI 54981-8008
Phone: (920) 810-0561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 5339-016 Wisconsin

Profile Details

NPI number 1023893005
LBN Legal business name Everts, Jacqueline Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2023
Last updated Aug 29th, 2023 - 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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