Schott-Wagner, Jean Harriet

Schott-Wagner, Jean Harriet is an sole proprietor health care provider with primary practice located at 2209 South Memorial Place , Sheboygan WI 53081. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Schott-Wagner, Jean Harriet can be contacted via phone (920) 459-8811.

Contact Information

Primary practice address
2209 South Memorial Place Sheboygan WI 53081
Fax: (920) 459-9871
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 24256 Wisconsin

Profile Details

NPI number 1407942410
LBN Legal business name Schott-Wagner, Jean Harriet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - 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 1407942410 NPPES
Wisconsin MEDICAID 30427600

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