Jantzen, Jean
Jantzen, Jean is an sole proprietor health care provider with primary practice located at 1117 Lindbergh Ave , Waukesha WI 53188-4953. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jantzen, Jean can be contacted via phone (262) 446-0030.Contact Information
Primary practice address
1117 Lindbergh Ave
Waukesha WI 53188-4953
Phone: (262) 446-0030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | Wisconsin |
Profile Details
| NPI number | 1447449673 |
|---|---|
| LBN Legal business name | Jantzen, Jean |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2007 |
| Last updated | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447449673 | NPPES |
| Wisconsin | MEDICAID | 35024700 |
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