Heath, Joan Alice

Heath, Joan Alice is an individual health care provider with primary practice located at N168W21700 Main St Lot 122 , Jackson WI 53037. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Heath, Joan Alice can be contacted via phone (262) 671-3126.

Contact Information

Primary practice address
N168W21700 Main St Lot 122 Jackson WI 53037
Phone: (262) 671-3126
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 83417030 Wisconsin

Profile Details

NPI number 1548395684
LBN Legal business name Heath, Joan Alice
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1548395684 NPPES
Wisconsin MEDICAID 39951200

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