Jerofke, Teresa A.

Jerofke, Teresa A. is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Division Of Surgical Oncology, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Jerofke, Teresa A. can be contacted via phone (414) 805-5701.

Contact Information

Primary practice address
9200 W Wisconsin Ave Division Of Surgical Oncology Milwaukee WI 53226-3522
Phone: (414) 805-5701
Fax: (414) 259-9225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 149532-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 149532 Wisconsin

Profile Details

NPI number 1043473242
LBN Legal business name Jerofke, Teresa A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated May 23rd, 2011 - about 15 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 1043473242 NPPES
Wisconsin Other 149532-030 STATE LICENSE
Wisconsin MEDICAID 1043473242 STATE LICENSE

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