Jacobs, Suzanne M

Jacobs, Suzanne M is an individual health care provider with primary practice located at 80 1St St , Prairie Du Sac WI 53578-1550. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Jacobs, Suzanne M can be contacted via phone (608) 643-3311.

Contact Information

Primary practice address
80 1St St Prairie Du Sac WI 53578-1550
Phone: (608) 643-3311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041279752 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209-003105 Illinois

Profile Details

NPI number 1750353769
LBN Legal business name Jacobs, Suzanne M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated May 17th, 2013 - about 11 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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