Slaske, Jennifer M

Slaske, Jennifer M is an sole proprietor health care provider with primary practice located at 1537 S 64Th St , West Allis WI 53214-4902. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Slaske, Jennifer M can be contacted via phone (414) 208-7362.

Contact Information

Primary practice address
1537 S 64Th St West Allis WI 53214-4902
Phone: (414) 208-7362
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 309333-031 Wisconsin

Profile Details

NPI number 1851564686
LBN Legal business name Slaske, Jennifer M
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2008
Last updated Nov 25th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851564686 NPPES
Wisconsin MEDICAID 35052700- PROVIDER #

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