Dunham, Jeffrey Lemoine
Dunham, Jeffrey Lemoine is an individual health care provider with primary practice located at 113 4Th Avenue , Shell Lake WI 54871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dunham, Jeffrey Lemoine can be contacted via phone (715) 468-7833.Contact Information
Primary practice address
113 4Th Avenue
Shell Lake WI 54871
Phone: (715) 468-7833
Fax: (715) 468-7839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30726 | Wisconsin |
Profile Details
| NPI number | 1841295862 |
|---|---|
| LBN Legal business name | Dunham, Jeffrey Lemoine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jun 6th, 2024 - about 5 months 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 | 1841295862 | NPPES |
| Wisconsin | MEDICAID | 31592800 |
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