Jerabek, Rita

Jerabek, Rita is an individual health care provider with primary practice located at 100 County Road B , Shawano WI 54166-7072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jerabek, Rita can be contacted via phone (715) 524-2161.

Contact Information

Primary practice address
100 County Road B Shawano WI 54166-7072
Phone: (715) 524-2161
Fax: (715) 524-5658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1575 Wisconsin

Profile Details

NPI number 1437194255
LBN Legal business name Jerabek, Rita
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Mar 7th, 2023 - about 3 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 1437194255 NPPES
Wisconsin MEDICAID 43892900

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