Kehrberg, Jennifer Ann
Kehrberg, Jennifer Ann is an individual health care provider with primary practice located at 2705 Enloe St , Hudson WI 54016-8173. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Kehrberg, Jennifer Ann can be contacted via phone (715) 386-2128.Contact Information
Primary practice address
2705 Enloe St
Hudson WI 54016-8173
Phone: (715) 386-2128
Fax: (715) 386-6119
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 684 | Wisconsin |
Profile Details
NPI number | 1083702567 |
---|---|
LBN Legal business name | Kehrberg, Jennifer Ann |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2006 |
Last updated | Jul 9th, 2007 - about 18 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 | 1083702567 | NPPES |
Wisconsin | MEDICAID | 40249100 |
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