Blakesley, Jeffrey S

Blakesley, Jeffrey S is an individual health care provider with primary practice located at 20 S Park St , Madison WI 53715-1348. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Blakesley, Jeffrey S can be contacted via phone (608) 287-2090.

Contact Information

Primary practice address
20 S Park St Madison WI 53715-1348
Phone: (608) 287-2090
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 74286-21 Wisconsin
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 74286-21 Wisconsin

Profile Details

NPI number 1003378191
LBN Legal business name Blakesley, Jeffrey S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2019
Last updated May 15th, 2024 - about 6 months 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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