Bontekoe, Jack Scott

Bontekoe, Jack Scott is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Bontekoe, Jack Scott can be contacted via phone (608) 263-6400.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-0001
Phone: (608) 263-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 76574-20 Wisconsin

Profile Details

NPI number 1568081578
LBN Legal business name Bontekoe, Jack Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2020
Last updated Jan 14th, 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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