Walloch, Jane L.

Walloch, Jane L. is an individual health care provider with primary practice located at 240 Maple Ave Prohealth Care Medical Associates, Mukwonago WI 53149-8475. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Walloch, Jane L. can be contacted via phone (262) 928-1900.

Contact Information

Primary practice address
240 Maple Ave Prohealth Care Medical Associates Mukwonago WI 53149-8475
Fax: (262) 363-1949
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44072 Wisconsin

Profile Details

NPI number 1285607267
LBN Legal business name Walloch, Jane L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Nov 9th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285607267 NPPES
Wisconsin MEDICAID 34445600

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