Birdsey, Jennifer

Birdsey, Jennifer is an individual health care provider with primary practice located at 225 Church St , Stoughton WI 53589-1801. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Birdsey, Jennifer can be contacted via phone (608) 877-2777.

Contact Information

Primary practice address
225 Church St Stoughton WI 53589-1801
Phone: (608) 877-2777
Fax: (608) 877-2774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4680-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4680 Wisconsin

Profile Details

NPI number 1225697766
LBN Legal business name Birdsey, Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2019
Last updated Aug 4th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225697766 NPPES
Wisconsin MEDICAID 1225697766

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