Englund, Jon Michael

Englund, Jon Michael is an individual health care provider with primary practice located at N15W28300 Golf Rd , Pewaukee WI 53072-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Englund, Jon Michael can be contacted via phone (262) 544-5311.

Contact Information

Primary practice address
N15W28300 Golf Rd Pewaukee WI 53072-4800
Phone: (262) 544-5311
Fax: (262) 544-6820
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46526-020 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 46526 Wisconsin

Profile Details

NPI number 1871552125
LBN Legal business name Englund, Jon Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Nov 4th, 2019 - about 6 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 1871552125 NPPES
Wisconsin MEDICAID 1871552125

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