Rollins, Jacqueline Kristine

Rollins, Jacqueline Kristine is an sole proprietor health care provider with primary practice located at 125 Byrd Ave , Neenah WI 54956-4015. She recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as her primary health care specialty. Rollins, Jacqueline Kristine can be contacted via phone (920) 725-7869.

Contact Information

Primary practice address
125 Byrd Ave Neenah WI 54956-4015
Phone: (920) 725-7869
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1124293774
LBN Legal business name Rollins, Jacqueline Kristine
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 2008 - about 17 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 1124293774 NPPES
Wisconsin MEDICAID 42589100

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