Mueller, Jaclyn M

Mueller, Jaclyn M is an individual health care provider with primary practice located at 7300 Washington Ave Ste B, Mount Pleasant WI 53406-6525. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mueller, Jaclyn M can be contacted via phone (262) 321-6000.

Contact Information

Primary practice address
7300 Washington Ave Ste B Mount Pleasant WI 53406-6525
Phone: (262) 321-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11799-024 Wisconsin

Profile Details

NPI number 1114215258
LBN Legal business name Mueller, Jaclyn M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2011
Last updated Dec 13th, 2021 - about 4 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 1114215258 NPPES
Wisconsin MEDICAID 1114215258

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