Jill Wagner is a Home Health in West Bend, Wisconsin. Jill Wagner practices all healthcare services and medical treatments related to Home Health. The NPI Number for Jill Wagner is 1568638351. The last update date is 2008-05-01.
Jill Wagner's current location address is 154 N 15th Ave, West Bend, Wisconsin. You can contact this provider via phone number 2623348158. The mailing address for Jill Wagner is 154 N 15th Ave, West Bend, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Wagner |
|---|---|
| Address | 154 N 15th Ave, West Bend, Wisconsin |
| Phone Number | 2623348158 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RN, RCS |
NPI Number Detail
| NPI Number | 1568638351 |
|---|---|
| Provider Enumeration Date | 2008-05-01 |
| Last Updated Date | 2008-05-01 |
Provider Mailing Address Detail
| Address | 154 N 15th Ave |
|---|---|
| City | West Bend |
| State | Wisconsin (WI) |
| Post Code | 530953023 |
| Phone Number | 2623348158 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 163Wh0200X |
| Licence No | 154545 |
|
Definition: A registered nurse who cares for homebound patients requiring skilled services. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35032000 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jill Wagner by the Centers for Medicare & Medicaid Services?
The Jill Wagner has been assigned the NPI (National Provider Identifier) 1568638351. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jill Wagner is geographically located?
The Jill Wagner is physically situated at the following location: 154 N 15Th Ave, West Bend, WI, 530953023.
What is Jill Wagner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jill Wagner is Home Health, and the taxonomy classification code that categorizes this area of expertise is 163Wh0200X.
When did Jill Wagner receive its 1568638351 assignment?
The Jill Wagner was assigned its 1568638351 on 2008-05-01, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jill Wagner last refreshed?
The information related to the Jill Wagner, including its address, specialty, and other relevant details, was last updated on 2008-05-01.