Fotland, Jay E

Fotland, Jay E is an individual health care provider with primary practice located at 2222 Kwik Trip Way , La Crosse WI 54602. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Fotland, Jay E can be contacted via phone (608) 780-2269.

Contact Information

Primary practice address
2222 Kwik Trip Way La Crosse WI 54602
Phone: (608) 780-2269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R-100621-0 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4372-33 Wisconsin

Profile Details

NPI number 1881646347
LBN Legal business name Fotland, Jay E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 4th, 2014 - about 10 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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