Provider Demographics
NPI:1669708855
Name:KASPAR-FRETT, ERIN JESSICA (CPM, LM, MSM)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:JESSICA
Last Name:KASPAR-FRETT
Suffix:
Gender:F
Credentials:CPM, LM, MSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E544 HIGHWAY 12
Mailing Address - Street 2:
Mailing Address - City:KNAPP
Mailing Address - State:WI
Mailing Address - Zip Code:54749-9074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:E544 HIGHWAY 12
Practice Address - Street 2:
Practice Address - City:KNAPP
Practice Address - State:WI
Practice Address - Zip Code:54749-9074
Practice Address - Country:US
Practice Address - Phone:612-801-9967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-23
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI59-049176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife