Kuzminski, Jacquelyn C
Kuzminski, Jacquelyn C is an individual health care provider with primary practice located at 9000 W Sura Ln , Greenfield WI 53228-3477. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kuzminski, Jacquelyn C can be contacted via phone (414) 246-6800.Contact Information
Primary practice address
9000 W Sura Ln
Greenfield WI 53228-3477
Phone: (414) 246-6800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 1635850 | Wisconsin |
Profile Details
| NPI number | 1063500569 |
|---|---|
| LBN Legal business name | Kuzminski, Jacquelyn C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Apr 29th, 2024 - about 7 months 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 | 1063500569 | NPPES |
| Wisconsin | MEDICAID | 35113300 |
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