Meade, Jeffrey Alan
Meade, Jeffrey Alan is an sole proprietor health care provider with primary practice located at 134 Hospital Dr , Watertown WI 53098-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Meade, Jeffrey Alan can be contacted via phone (920) 261-6500.Contact Information
Primary practice address
134 Hospital Dr
Watertown WI 53098-3304
Phone: (920) 261-6500
Fax: (920) 261-6107
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 39630-20 | Wisconsin |
Profile Details
NPI number | 1437156163 |
---|---|
LBN Legal business name | Meade, Jeffrey Alan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 7th, 2005 |
Last updated | May 8th, 2020 - about 4 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 | 1437156163 | NPPES |
Wisconsin | MEDICAID | 32455200 |
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