Jeter, Jeffrey S
Jeter, Jeffrey S is an individual health care provider with primary practice located at 2105 E Enterprise Ave # 113 Advanced Physical Therapy, Appleton WI 54913-7862. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jeter, Jeffrey S can be contacted via phone (920) 991-2561.Contact Information
Primary practice address
2105 E Enterprise Ave # 113 Advanced Physical Therapy
Appleton WI 54913-7862
Phone: (920) 991-2561
Fax: (920) 991-2563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4557 | Wisconsin |
Profile Details
| NPI number | 1134121858 |
|---|---|
| LBN Legal business name | Jeter, Jeffrey S |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jul 18th, 2008 - about 16 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 | 1134121858 | NPPES |
| Wisconsin | MEDICAID | 40357800 |
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