Dzemske, Jennifer G
Dzemske, Jennifer G is an sole proprietor health care provider with primary practice located at 2051 S 67Th Pl , West Allis WI 53219-1306. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dzemske, Jennifer G can be contacted via phone (414) 208-6933.Contact Information
Primary practice address
2051 S 67Th Pl
West Allis WI 53219-1306
Phone: (414) 208-6933
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 315608-31 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 13844 | Wisconsin |
Profile Details
NPI number | 1457606121 |
---|---|
LBN Legal business name | Dzemske, Jennifer G |
Credentials | APNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 19th, 2012 |
Last updated | Jun 30th, 2023 - about last year |
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 | 1457606121 | NPPES |
Wisconsin | MEDICAID | UNKNOWN |
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