Serwe, Jessica L
Serwe, Jessica L is an individual health care provider with primary practice located at 976 E Johnson St Suite 900, Fond Du Lac WI 54935-9746. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Serwe, Jessica L can be contacted via phone (920) 907-1700.Contact Information
Primary practice address
976 E Johnson St Suite 900
Fond Du Lac WI 54935-9746
Phone: (920) 907-1700
Fax: (920) 907-1708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4174-012 | Wisconsin |
Profile Details
| NPI number | 1063589505 |
|---|---|
| LBN Legal business name | Serwe, Jessica L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Oct 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063589505 | NPPES |
| Wisconsin | MEDICAID | 38185900 |
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