Nelson, Jennifer Margaret
Nelson, Jennifer Margaret is an individual health care provider with primary practice located at 10400 75Th St Pediatrics, Kenosha WI 53142-7884. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nelson, Jennifer Margaret can be contacted via phone (262) 948-6367.Contact Information
Primary practice address
10400 75Th St Pediatrics
Kenosha WI 53142-7884
Phone: (262) 948-6367
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 53245-20 | Wisconsin |
Profile Details
| NPI number | 1649397498 |
|---|---|
| LBN Legal business name | Nelson, Jennifer Margaret |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 14th, 2023 - about last year |
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 | 1649397498 | NPPES |
| Wisconsin | MEDICAID | 100004139 |
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