Jass, Kati Lynne
Jass, Kati Lynne is an individual health care provider with primary practice located at 1312 Barberry Dr , Janesville WI 53545-0589. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jass, Kati Lynne can be contacted via phone (608) 758-1944.Contact Information
Primary practice address
1312 Barberry Dr
Janesville WI 53545-0589
Phone: (608) 758-1944
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 235843-30 | Wisconsin |
Profile Details
| NPI number | 1346995966 |
|---|---|
| LBN Legal business name | Jass, Kati Lynne |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2022 |
| Last updated | Feb 14th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346995966 | NPPES |
| Wisconsin | MEDICAID | 1578234902 |
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