Ipsen, John Douglas
Ipsen, John Douglas is an individual health care provider with primary practice located at 53585 Nokomis Rd , Ashland WI 54806-4272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ipsen, John Douglas can be contacted via phone (715) 682-7133.Contact Information
Primary practice address
53585 Nokomis Rd
Ashland WI 54806-4272
Phone: (715) 682-7133
Fax: (715) 685-7857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37146 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32307-20 | Wisconsin |
Profile Details
| NPI number | 1073564126 |
|---|---|
| LBN Legal business name | Ipsen, John Douglas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Jul 14th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073564126 | NPPES |
| Minnesota | Other | 080005095 | MEDICARE PIN |
| Minnesota | MEDICAID | 220313800 | MEDICARE PIN |
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