Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHABIAN TREYVONNE DEJEAN
Active Sole ProprietorPHABIAN TREYVONNE DEJEAN is a Rural Ambulance healthcare provider located in KAUKAUNA, Wisconsin. NPI 1346950698 is currently active in the NPPES registry. Verify at CMS.
Rural Ambulance · KAUKAUNA, WI
Registration Details
- NPI Number
- 1346950698
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2022 (3.7270289535199 yrs)
- Last Updated
- Nov 28, 2022
- License
-
0019259 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 W 4TH STKAUKAUNA, WI, 541302447Browse WI providers · Browse ZIP 54130
- Phone
- 9208091023
- Primary Specialty
-
Rural Ambulance
3104A0625X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.