Graser, Jacey T

Graser, Jacey T is an individual health care provider with primary practice located at 12961 27Th Ave , Chippewa Falls WI 54729-5699. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Graser, Jacey T can be contacted via phone (715) 738-3700.

Contact Information

Primary practice address
12961 27Th Ave Chippewa Falls WI 54729-5699
Phone: (715) 738-3700
Fax: (715) 726-1612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2133 Wisconsin

Profile Details

NPI number 1699874016
LBN Legal business name Graser, Jacey T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699874016 NPPES
Wisconsin MEDICAID 43977700

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