Punke, Jodi A.B.

Punke, Jodi A.B. is an individual health care provider with primary practice located at 10 Tower Dr , Sun Prairie WI 53590-1239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Punke, Jodi A.B. can be contacted via phone (608) 825-3500.

Contact Information

Primary practice address
10 Tower Dr Sun Prairie WI 53590-1239
Fax: (608) 825-3786
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43375-21 Wisconsin

Profile Details

NPI number 1225148471
LBN Legal business name Punke, Jodi A.B.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 13th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225148471 NPPES
Wisconsin MEDICAID 1225148471

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