Rader, Jennifer L

Rader, Jennifer L is an individual health care provider with primary practice located at 235 E State St , Saint Croix Falls WI 54024-4117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rader, Jennifer L can be contacted via phone (715) 483-3221.

Contact Information

Primary practice address
235 E State St Saint Croix Falls WI 54024-4117
Phone: (715) 483-3221
Fax: (715) 483-0507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49251 Wisconsin

Profile Details

NPI number 1528096856
LBN Legal business name Rader, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Oct 20th, 2022 - about 3 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 1528096856 NPPES
Wisconsin Other 00496 MEDICARE GROUP
Wisconsin Other 1047147 MEDICARE GROUP
Wisconsin MEDICAID 34562700 MEDICARE GROUP
Wisconsin Other 539G5VE MEDICARE GROUP
Wisconsin Other 49170 MEDICARE GROUP

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