Individual
MR. JASON SCOTT PAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2066 TIMOTHY LN, MOSINEE, WI 54455-7205
(715) 218-1377
Mailing address
2066 TIMOTHY LN, MOSINEE, WI 54455-7205
(715) 218-1377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
156811-030
WI
163WH0200X
Home Health Registered Nurse
Primary
156811-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35056100
—
WI
Enumeration date
05/07/2008
Last updated
05/07/2008
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