Philbin, Jennifer Michele

Philbin, Jennifer Michele is an individual health care provider with primary practice located at 200 E Tyranena Park Rd , Lake Mills WI 53551-9678. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Philbin, Jennifer Michele can be contacted via phone (920) 648-8393.

Contact Information

Primary practice address
200 E Tyranena Park Rd Lake Mills WI 53551-9678
Phone: (920) 648-8393
Fax: (920) 648-3656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44305 Wisconsin

Profile Details

NPI number 1528084209
LBN Legal business name Philbin, Jennifer Michele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528084209 NPPES
Wisconsin MEDICAID 34210300

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