Blank, Jacqueline

Blank, Jacqueline is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Trauma Surgery, Milwaukee WI 53226-3522. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Blank, Jacqueline can be contacted via phone (414) 955-1700.

Contact Information

Primary practice address
9200 W Wisconsin Ave Trauma Surgery Milwaukee WI 53226-3522
Phone: (414) 955-1700
Fax: (414) 955-0072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 64645 Wisconsin
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 64645 Wisconsin
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 64645 Wisconsin

Profile Details

NPI number 1760800312
LBN Legal business name Blank, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2014
Last updated Aug 3rd, 2023 - about last year

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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