Beerends, Jerold J
Beerends, Jerold J is an individual health care provider with primary practice located at 205 Valley Ave , West Bend WI 53095-5312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Beerends, Jerold J can be contacted via phone (262) 338-1123.Contact Information
Primary practice address
205 Valley Ave
West Bend WI 53095-5312
Phone: (262) 338-1123
Fax: (262) 338-7684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20959 | Wisconsin |
Profile Details
| NPI number | 1871502500 |
|---|---|
| LBN Legal business name | Beerends, Jerold J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Apr 20th, 2011 - about 14 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 | 1871502500 | NPPES |
| Wisconsin | MEDICAID | 30104200 |
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