Prunuske, Jacob Paul

Prunuske, Jacob Paul is an individual health care provider with primary practice located at 425 Wind Ridge Dr , Wausau WI 54401-4149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Prunuske, Jacob Paul can be contacted via phone (715) 675-3391.

Contact Information

Primary practice address
425 Wind Ridge Dr Wausau WI 54401-4149
Phone: (715) 675-3391
Fax: (715) 675-4253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4979070-1205 Utah
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49598 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 53968 Minnesota

Profile Details

NPI number 1326004102
LBN Legal business name Prunuske, Jacob Paul
Credentials MD, MSPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated May 10th, 2016 - about 8 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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