Jeruc, William D
Jeruc, William D is an individual health care provider with primary practice located at 4855 S Moorland Rd Ste 250 , New Berlin WI 53151-7494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jeruc, William D can be contacted via phone (262) 789-6020.Contact Information
Primary practice address
4855 S Moorland Rd Ste 250
New Berlin WI 53151-7494
Phone: (262) 789-6020
Fax: (262) 789-6025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 32311 | Wisconsin |
Profile Details
| NPI number | 1851385157 |
|---|---|
| LBN Legal business name | Jeruc, William D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851385157 | NPPES |
| Wisconsin | MEDICAID | 31861800 |
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