Koosmann, Jerelyn Mary
Koosmann, Jerelyn Mary is an individual health care provider with primary practice located at 53585 Nokomis Rd , Ashland WI 54806-4272. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Koosmann, Jerelyn Mary can be contacted via phone (715) 685-7887.Contact Information
Primary practice address
53585 Nokomis Rd
Ashland WI 54806-4272
Phone: (715) 685-7887
Fax: (715) 685-7857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 5103-16 | Wisconsin |
Profile Details
| NPI number | 1023457918 |
|---|---|
| LBN Legal business name | Koosmann, Jerelyn Mary |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2013 |
| Last updated | Jun 24th, 2013 - about 12 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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