Herm, Jennifer

Herm, Jennifer is an individual health care provider with primary practice located at 116 N Main St , Shawano WI 54166-2356. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Herm, Jennifer can be contacted via phone (715) 526-7370.

Contact Information

Primary practice address
116 N Main St Shawano WI 54166-2356
Phone: (715) 526-7370
Fax: (715) 526-7294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160-019 Wisconsin

Profile Details

NPI number 1487640496
LBN Legal business name Herm, Jennifer
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 8th, 2007 - about 18 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 1487640496 NPPES
Wisconsin MEDICAID 40389500

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