Schiffbauer, Jessica G
Schiffbauer, Jessica G is an individual health care provider with primary practice located at 9916 75Th St Ste 101 , Kenosha WI 53142-7583. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Schiffbauer, Jessica G can be contacted via phone (262) 637-0500.Contact Information
Primary practice address
9916 75Th St Ste 101
Kenosha WI 53142-7583
Phone: (262) 637-0500
Fax: (262) 635-8027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3666 | Wisconsin |
Profile Details
| NPI number | 1659723328 |
|---|---|
| LBN Legal business name | Schiffbauer, Jessica G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2016 |
| Last updated | Jan 9th, 2024 - about 11 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 | 1659723328 | NPPES |
| Wisconsin | MEDICAID | 100193668 |
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