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
Fax: (715) 386-6119
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083702567 NPPES
Wisconsin MEDICAID 40249100

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