Reisert, Jeffrey Thomas

Reisert, Jeffrey Thomas is an individual health care provider with primary practice located at 555 E Broadway Ave Ste 201 , Jackson WY 83001-8640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reisert, Jeffrey Thomas can be contacted via phone (307) 733-7222.

Contact Information

Primary practice address
555 E Broadway Ave Ste 201 Jackson WY 83001-8640
Phone: (307) 733-7222
Fax: (307) 739-4828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9969 New Hampshire
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13203A Wyoming

Profile Details

NPI number 1780668350
LBN Legal business name Reisert, Jeffrey Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Feb 18th, 2021 - 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 1780668350 NPPES
Wyoming MEDICAID 156963500

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