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:
Health care specialties
| Specialty | Code | License # | 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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