Provider Demographics
NPI:1023448842
Name:MICHEL, JOCELYN (CAC)
Entity type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:
Last Name:MICHEL
Suffix:
Gender:F
Credentials:CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 N 3RD AVE
Mailing Address - Street 2:BOX 173
Mailing Address - City:STRATFORD
Mailing Address - State:WI
Mailing Address - Zip Code:54484-9697
Mailing Address - Country:US
Mailing Address - Phone:262-989-8083
Mailing Address - Fax:
Practice Address - Street 1:608 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:WI
Practice Address - Zip Code:54421-9440
Practice Address - Country:US
Practice Address - Phone:262-989-8083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-14
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI780-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist