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Contact Information

JACKLYN S BACKHAUS, AGACNP-BC
1050 DIVISION ST
MAUSTON, WI53948-1931
 Phone: 608-847-6161
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JACKLYN S BACKHAUS · (Female)

NPI # 1104631506
Status Active
Credentials AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner)
Entity Individual
Enumeration date 02/11/2025
Last updated 03/27/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 16067-33
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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