Schenk, Jill Tracey
Schenk, Jill Tracey is an individual health care provider with primary practice located at 1615 Maple Ln Ste 1 Essentia Health Ashland Clinic, Ashland WI 54806-3610. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Emergency Medical Service Providers / Personal Emergency Response Attendant. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Schenk, Jill Tracey can be contacted via phone (715) 685-7500.Contact Information
Primary practice address
1615 Maple Ln Ste 1 Essentia Health Ashland Clinic
Ashland WI 54806-3610
Phone: (715) 685-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR-50806 | Colorado |
| Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | A87051 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A87051 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-49107 | Kansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 64183-20 | Wisconsin |
Profile Details
| NPI number | 1770594475 |
|---|---|
| LBN Legal business name | Schenk, Jill Tracey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Mar 27th, 2024 - about 8 months 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 | 1770594475 | NPPES |
| California | MEDICAID | 00A870510 | |
| California | Other | 240000 | |
| California | MEDICAID | 719834 | |
| California | Other | P00168917 |
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