Fernholz, Jeff

Fernholz, Jeff is an individual health care provider with primary practice located at 2527 75Th St , Kenosha WI 53143-1407. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Fernholz, Jeff can be contacted via phone (262) 654-4703.

Contact Information

Primary practice address
2527 75Th St Kenosha WI 53143-1407
Phone: (262) 654-4703
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 1022 Wisconsin

Profile Details

NPI number 1982932026
LBN Legal business name Fernholz, Jeff
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2009
Last updated Dec 1st, 2009 - about 16 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 1982932026 NPPES
Wisconsin MEDICAID 42831200

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