Jacobs, Melissa Marie

Jacobs, Melissa Marie is an sole proprietor health care provider with primary practice located at N 1975 County Highway N , Columbus WI 53925-9766. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Jacobs, Melissa Marie can be contacted via phone (608) 692-8466.

Contact Information

Primary practice address
N 1975 County Highway N Columbus WI 53925-9766
Phone: (608) 692-8466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 88620-030 Wisconsin

Profile Details

NPI number 1316169998
LBN Legal business name Jacobs, Melissa Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Jul 9th, 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 1316169998 NPPES
Wisconsin MEDICAID 40003300

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