Jeranek, Matthew

Jeranek, Matthew is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Jeranek, Matthew can be contacted via phone (414) 955-7040.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226
Phone: (414) 955-7040
Fax: (414) 955-6211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 66919-20 Wisconsin

Profile Details

NPI number 1417299843
LBN Legal business name Jeranek, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2013
Last updated Jan 16th, 2020 - about 5 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 1417299843 NPPES
Wisconsin MEDICAID 1417299843

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