Haesemeyer, Allan Jay

Haesemeyer, Allan Jay is an individual health care provider with primary practice located at 113 4Th Avenue , Shell Lake WI 54871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haesemeyer, Allan Jay can be contacted via phone (715) 468-7833.

Contact Information

Primary practice address
113 4Th Avenue Shell Lake WI 54871
Phone: (715) 468-7833
Fax: (715) 468-7839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24168 Wisconsin

Profile Details

NPI number 1548267768
LBN Legal business name Haesemeyer, Allan Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jun 3rd, 2024 - about 5 months 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 1548267768 NPPES
Wisconsin MEDICAID 30382900

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