Andryk, Jolene E.
Andryk, Jolene E. is an individual health care provider with primary practice located at 12203 Corporate Pkwy , Mequon WI 53092-3388. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Andryk, Jolene E. can be contacted via phone (262) 387-8200.Contact Information
Primary practice address
12203 Corporate Pkwy
Mequon WI 53092-3388
Phone: (262) 387-8200
Fax: (262) 387-8271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 37943 | Wisconsin |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 37943 | Wisconsin |
Profile Details
| NPI number | 1326074196 |
|---|---|
| LBN Legal business name | Andryk, Jolene E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Nov 19th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326074196 | NPPES |
| Wisconsin | MEDICAID | 33345200 | |
| Wisconsin | Other | P00679656 |
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