Mrs. Jerelyn Mary Koosmann
Dental Hygienist
53585 Nokomis Rd
Ashland
, Wisconsin 54806-4272
Mrs. Jerelyn Mary Koosmann
Dental Hygienist
53585 Nokomis Rd
Ashland
, Wisconsin 54806-4272
(715) 685-7857
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Mrs. Jerelyn Mary Koosmann
- 53585 Nokomis Rd
- Ashland, WI
- Zip : 54806-4272
- Fax : (715) 685-7857
- Phone : (715) 685-7887
Second Address
- Mrs. Jerelyn Mary Koosmann
- 53585 Nokomis Rd
- Ashland, WI
- Zip : 54806-4272
- Fax : (715) 685-7857
- Phone : (715) 685-7887
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 5103-16 | WI |
National Provider Identifier
| NPI | 1023457918 |
|---|---|
| Provider Name | Mrs. Jerelyn Mary Koosmann |
| First Address | Ashland, WI 54806-4272 |
| Second Address | Ashland, WI 54806-4272 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2013 |
| Last Update Date | 24/06/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.