Smith, Jessica A

Smith, Jessica A is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Maternal And Fetal Medicine, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Smith, Jessica A can be contacted via phone (414) 805-6624.

Contact Information

Primary practice address
9200 W Wisconsin Ave Maternal And Fetal Medicine Milwaukee WI 53226-3522
Phone: (414) 805-6624
Fax: (414) 805-9000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 71452 Wisconsin
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 71452 Wisconsin

Profile Details

NPI number 1063730661
LBN Legal business name Smith, Jessica A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2010
Last updated Oct 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063730661 NPPES
Wisconsin MEDICAID 1063730661

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