Huebner, Jerome A

Huebner, Jerome A is an individual health care provider with primary practice located at 1450 Eastside Rd Ste 110, Platteville WI 53818-9800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Huebner, Jerome A can be contacted via phone (608) 348-4330.

Contact Information

Primary practice address
1450 Eastside Rd Ste 110 Platteville WI 53818-9800
Fax: (608) 342-4810
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20824-020 Wisconsin

Profile Details

NPI number 1225094840
LBN Legal business name Huebner, Jerome A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Feb 19th, 2015 - about 10 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 1225094840 NPPES
Wisconsin Other 143 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 30130800 DEAN HEALTH INSURANCE
Wisconsin Other 1000859 DEAN HEALTH INSURANCE

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