Jaeger, Amy J.

Jaeger, Amy J. is an individual health care provider with primary practice located at 410 Dewey St , Wisconsin Rapids WI 54495-8075. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Jaeger, Amy J. can be contacted via phone (715) 421-5257.

Contact Information

Primary practice address
410 Dewey St Wisconsin Rapids WI 54495-8075
Phone: (715) 421-5257
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00753 Iowa
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 898-025 Wisconsin

Profile Details

NPI number 1710970538
LBN Legal business name Jaeger, Amy J.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Nov 17th, 2022 - about 3 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 1710970538 NPPES
Wisconsin MEDICAID APPR

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