Kakuske, Gabrielle
Kakuske, Gabrielle is an sole proprietor health care provider with primary practice located at 1312 Barberry Dr Ste 110 , 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. Kakuske, Gabrielle can be contacted via phone (608) 758-1944.Contact Information
Primary practice address
1312 Barberry Dr Ste 110
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 | 264386-30 | Wisconsin |
Profile Details
| NPI number | 1316673296 |
|---|---|
| LBN Legal business name | Kakuske, Gabrielle |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2022 |
| Last updated | Jul 25th, 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 | 1316673296 | NPPES |
| Wisconsin | MEDICAID | 1578234902 |
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