Jesberg, Carole A.
Jesberg, Carole A. is an individual health care provider with primary practice located at 1500 N 34Th St Suite 200, Superior WI 54880-4477. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Jesberg, Carole A. can be contacted via phone (715) 392-8216.Contact Information
Primary practice address
1500 N 34Th St Suite 200
Superior WI 54880-4477
Phone: (715) 392-8216
Fax: (715) 392-6055
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 145190-030 | Wisconsin |
Nursing Service Providers / Registered Nurse | 163W00000X | 145190-030 | Wisconsin |
Profile Details
NPI number | 1386813707 |
---|---|
LBN Legal business name | Jesberg, Carole A. |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 29th, 2008 |
Last updated | Sep 15th, 2014 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386813707 | NPPES |
Wisconsin | MEDICAID | 1194994525 |
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