Jerdee, Jennifer R

Jerdee, Jennifer R is an sole proprietor health care provider with primary practice located at 4308 White Oak Ln , Sheboygan WI 53083-2178. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jerdee, Jennifer R can be contacted via phone (920) 457-4566.

Contact Information

Primary practice address
4308 White Oak Ln Sheboygan WI 53083-2178
Phone: (920) 457-4566
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2436-026 Wisconsin

Profile Details

NPI number 1841463304
LBN Legal business name Jerdee, Jennifer R
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2008
Last updated Apr 4th, 2008 - about 17 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 1841463304 NPPES
Wisconsin MEDICAID 40822100

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