Burns, Jennifer Ann

Burns, Jennifer Ann is an individual health care provider with primary practice located at 900 S Webster Ave , Green Bay WI 54301-3508. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Burns, Jennifer Ann can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
900 S Webster Ave Green Bay WI 54301-3508
Fax: (920) 436-1309
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 48809 Wisconsin

Profile Details

NPI number 1659304046
LBN Legal business name Burns, Jennifer Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jul 23rd, 2008 - about 16 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 1659304046 NPPES
Wisconsin MEDICAID 34815300

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