Jenkins, Paul George

Jenkins, Paul George is an sole proprietor health care provider with primary practice located at 1575 Rivercenter Dr Ste 104, Milwaukee WI 53212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jenkins, Paul George can be contacted via phone (414) 274-7520.

Contact Information

Primary practice address
1575 Rivercenter Dr Ste 104 Milwaukee WI 53212
Fax: (414) 274-7525
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 17681020 Wisconsin

Profile Details

NPI number 1053386862
LBN Legal business name Jenkins, Paul George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated Dec 20th, 2012 - about 13 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 1053386862 NPPES
Wisconsin MEDICAID 30916600

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