Everson, Jeffrey J

Everson, Jeffrey J is an individual health care provider with primary practice located at 260 26Th St , Prairie Du Sac WI 53578-2203. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Everson, Jeffrey J can be contacted via phone (608) 643-2471.

Contact Information

Primary practice address
260 26Th St Prairie Du Sac WI 53578-2203
Phone: (608) 643-2471
Fax: (608) 643-4788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1048 Wisconsin

Profile Details

NPI number 1861457525
LBN Legal business name Everson, Jeffrey J
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Mar 24th, 2021 - about 3 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 1861457525 NPPES
Wisconsin MEDICAID 42977700

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