Magestro, Jennifer Lynn

Magestro, Jennifer Lynn is an individual health care provider with primary practice located at 12555 W National Ave , New Berlin WI 53151-4061. 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. Magestro, Jennifer Lynn can be contacted via phone (414) 550-1268.

Contact Information

Primary practice address
12555 W National Ave New Berlin WI 53151-4061
Phone: (414) 550-1268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5205-024 Wisconsin

Profile Details

NPI number 1215975800
LBN Legal business name Magestro, Jennifer Lynn
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jun 27th, 2008 - about 17 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 1215975800 NPPES
Wisconsin MEDICAID 40337600

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