Reyerson, Jane Lynn

Reyerson, Jane Lynn is an individual health care provider with primary practice located at 7117 Green Bay Rd , Kenosha WI 53142-1450. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Reyerson, Jane Lynn can be contacted via phone (262) 942-7000.

Contact Information

Primary practice address
7117 Green Bay Rd Kenosha WI 53142-1450
Phone: (262) 942-7000
Fax: (262) 942-7117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5810-015 Wisconsin

Profile Details

NPI number 1003929266
LBN Legal business name Reyerson, Jane Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 18 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 1003929266 NPPES
Wisconsin MEDICAID 33792700

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