Degroat, Jesse Varney
Degroat, Jesse Varney is an individual health care provider with primary practice located at 1320 Wisconsin Ave , Racine WI 53403-1978. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Degroat, Jesse Varney can be contacted via phone (262) 687-5630.Contact Information
Primary practice address
1320 Wisconsin Ave
Racine WI 53403-1978
Phone: (262) 687-5630
Fax: (262) 687-5657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 44111-020 | Wisconsin |
Profile Details
| NPI number | 1407823156 |
|---|---|
| LBN Legal business name | Degroat, Jesse Varney |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Aug 23rd, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407823156 | NPPES |
| Wisconsin | MEDICAID | 3224200 |
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