Dykes, Jennifer A

Dykes, Jennifer A is an sole proprietor health care provider with primary practice located at 7490 156Th St , Chippewa Falls WI 54729-1425. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Dykes, Jennifer A can be contacted via phone (715) 726-3447.

Contact Information

Primary practice address
7490 156Th St Chippewa Falls WI 54729-1425
Phone: (715) 726-3447
Fax: (715) 726-3649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 3512-026 Wisconsin

Profile Details

NPI number 1093906125
LBN Legal business name Dykes, Jennifer A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2007
Last updated Aug 5th, 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 1093906125 NPPES
Wisconsin MEDICAID 40888800

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