Jeschke, Jennifer A
Jeschke, Jennifer A is an individual health care provider with primary practice located at 805 Elm St , Lake Mills WI 53551-1127. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Jeschke, Jennifer A can be contacted via phone (920) 648-2400.Contact Information
Primary practice address
805 Elm St
Lake Mills WI 53551-1127
Phone: (920) 648-2400
Fax: (920) 648-2444
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10198-24 | Wisconsin |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | 10198024 | Wisconsin |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 10198024 | Wisconsin |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 10198024 | Wisconsin |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10198024 | Wisconsin |
Profile Details
NPI number | 1609898717 |
---|---|
LBN Legal business name | Jeschke, Jennifer A |
Credentials | PT, DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2006 |
Last updated | Nov 11th, 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 | 1609898717 | NPPES |
Wisconsin | MEDICAID | 40431100 |
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