Doerfer, John P

Doerfer, John P is an individual health care provider with primary practice located at 740 Reena Ave Ste A, Fort Atkinson WI 53538-3145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Doerfer, John P can be contacted via phone (920) 563-0888.

Contact Information

Primary practice address
740 Reena Ave Ste A Fort Atkinson WI 53538-3145
Fax: (920) 568-3516
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49794-020 Wisconsin

Profile Details

NPI number 1760466460
LBN Legal business name Doerfer, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jan 21st, 2016 - about 9 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 1760466460 NPPES
Wisconsin MEDICAID 1760466460

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