Augustine, Jennifer A
Augustine, Jennifer A is an individual health care provider with primary practice located at 111 E Wisconsin Ave Suite 2000, Milwaukee WI 53202-4815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Augustine, Jennifer A can be contacted via phone (414) 290-6720.Contact Information
Primary practice address
111 E Wisconsin Ave Suite 2000
Milwaukee WI 53202-4815
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 41292 | Wisconsin |
Profile Details
| NPI number | 1295795904 |
|---|---|
| LBN Legal business name | Augustine, Jennifer A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Jul 30th, 2008 - about 16 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 | 1295795904 | NPPES |
| Wisconsin | Other | 930104133 | RAILROAD MEDICARE |
| Wisconsin | MEDICAID | 34080700 | RAILROAD MEDICARE |
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