Peschman, Jacob Robert
Peschman, Jacob Robert is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Peschman, Jacob Robert can be contacted via phone (414) 805-8623.Contact Information
Primary practice address
9200 W Wisconsin Ave
Milwaukee WI 53226-3522
Phone: (414) 805-8623
Fax: (414) 805-8641
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 56830 | Wisconsin |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 56830 | Wisconsin |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 56830 | Wisconsin |
Profile Details
NPI number | 1396060679 |
---|---|
LBN Legal business name | Peschman, Jacob Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2010 |
Last updated | Jun 24th, 2021 - 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 | 1396060679 | NPPES |
Wisconsin | MEDICAID | 1396060679 |
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