Deering, Jamie S

Deering, Jamie S is an individual health care provider with primary practice located at 705 S University Ave Ste 500 , Beaver Dam WI 53916-3053. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Deering, Jamie S can be contacted via phone (920) 887-3102.

Contact Information

Primary practice address
705 S University Ave Ste 500 Beaver Dam WI 53916-3053
Phone: (920) 887-3102
Fax: (920) 885-8770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41344-020 Wisconsin

Profile Details

NPI number 1164473617
LBN Legal business name Deering, Jamie S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Nov 17th, 2022 - about 2 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 1164473617 NPPES
Wisconsin MEDICAID 1164473617
Wisconsin Other P01510820

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