Deutsch, Jerrold M.

Deutsch, Jerrold M. is an individual health care provider with primary practice located at 1111 Delafield St Suite 115, Waukesha WI 53188-3417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Deutsch, Jerrold M. can be contacted via phone (262) 542-2536.

Contact Information

Primary practice address
1111 Delafield St Suite 115 Waukesha WI 53188-3417
Phone: (262) 542-2536
Fax: (262) 542-2791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 25238 Wisconsin

Profile Details

NPI number 1639143522
LBN Legal business name Deutsch, Jerrold M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1639143522 NPPES
Wisconsin MEDICAID 30824100

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