Fillmore, Jeffrey Allen
Fillmore, Jeffrey Allen is an individual health care provider with primary practice located at 1405 Mill St , New London WI 54961-2155. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Fillmore, Jeffrey Allen can be contacted via phone (920) 531-2400.Contact Information
Primary practice address
1405 Mill St
New London WI 54961-2155
Phone: (920) 531-2400
Fax: (920) 531-2450
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 10818-33 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 10818 | Wisconsin |
Profile Details
NPI number | 1992382873 |
---|---|
LBN Legal business name | Fillmore, Jeffrey Allen |
Credentials | APNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2021 |
Last updated | Feb 14th, 2022 - about 2 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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