Riquelme, Jean Marie
Riquelme, Jean Marie is an individual health care provider with primary practice located at 100 N Nine Mound Rd , Verona WI 53593-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Riquelme, Jean Marie can be contacted via phone (608) 845-9531.Contact Information
Primary practice address
100 N Nine Mound Rd
Verona WI 53593-1032
Phone: (608) 845-9531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36042-20 | Wisconsin |
Profile Details
| NPI number | 1568446128 |
|---|---|
| LBN Legal business name | Riquelme, Jean Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | May 23rd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568446128 | NPPES |
| Wisconsin | Other | 36042 | LICENSE |
| Wisconsin | Other | MD60319995 | LICENSE |
| Wisconsin | MEDICAID | 32097700 | LICENSE |
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