Jaglinski, Keith M

Jaglinski, Keith M is an individual health care provider with primary practice located at 113 4Th Avenue , Shell Lake WI 54871. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Jaglinski, Keith M can be contacted via phone (715) 468-7833.

Contact Information

Primary practice address
113 4Th Avenue Shell Lake WI 54871
Phone: (715) 468-7833
Fax: (715) 468-7839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 118209 Wisconsin

Profile Details

NPI number 1720118391
LBN Legal business name Jaglinski, Keith M
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Dec 1st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720118391 NPPES
Wisconsin MEDICAID 40477900

Popular Providers