Budwit, Jodi R

Budwit, Jodi R is an individual health care provider with primary practice located at 430 E Division St , Fond Du Lac WI 54935-4560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Budwit, Jodi R can be contacted via phone (920) 926-4591.

Contact Information

Primary practice address
430 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-4591
Fax: (920) 926-8370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5180-33 Wisconsin

Profile Details

NPI number 1225374457
LBN Legal business name Budwit, Jodi R
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2012
Last updated Oct 20th, 2020 - about 4 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 1225374457 NPPES
Wisconsin Other 5180-33 NP LICENSE

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