Egelseer, Jennifer M.
Egelseer, Jennifer M. is an individual health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Egelseer, Jennifer M. can be contacted via phone (608) 417-6236.Contact Information
Primary practice address
202 S Park St
Madison WI 53715-1507
Phone: (608) 417-6236
Fax: (503) 659-8984
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 77050-21 | Wisconsin |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A-1370-06 | New Mexico |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | DO28988 | Oregon |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | A-1370-06 | New Mexico |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 70050-21 | Wisconsin |
Profile Details
NPI number | 1407944317 |
---|---|
LBN Legal business name | Egelseer, Jennifer M. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2006 |
Last updated | Jan 12th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407944317 | NPPES |
Oregon | MEDICAID | 500608952 |
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