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
Fax: (920) 907-1708
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 1063589505 NPPES
Wisconsin MEDICAID 38185900

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