Kerkman, Jacqueline C

Kerkman, Jacqueline C is an individual health care provider with primary practice located at W3985 County Road Nn , Elkhorn WI 53121-4337. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kerkman, Jacqueline C can be contacted via phone (262) 741-2147.

Contact Information

Primary practice address
W3985 County Road Nn Elkhorn WI 53121-4337
Phone: (262) 741-2147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10285-024 Wisconsin

Profile Details

NPI number 1336347509
LBN Legal business name Kerkman, Jacqueline C
Credentials DPT, MS, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Jul 12th, 2012 - about 13 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 1336347509 NPPES
Wisconsin MEDICAID 40437500

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