Weiskopf, Jerome S
Weiskopf, Jerome S is an individual health care provider with primary practice located at 6533 Lexus Drive , Rockford IL 61108-3015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Weiskopf, Jerome S can be contacted via phone (815) 397-4180.Contact Information
Primary practice address
6533 Lexus Drive
Rockford IL 61108-3015
Phone: (815) 397-4180
Fax: (815) 397-1250
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 03652893 | Illinois |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 03652893 | Illinois |
Profile Details
NPI number | 1992814628 |
---|---|
LBN Legal business name | Weiskopf, Jerome S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2006 |
Last updated | Jul 25th, 2008 - about 16 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 | 1992814628 | NPPES |
Wisconsin | Other | 362958896015 | BLUE CROSS OF WI |
Wisconsin | Other | 131087000 | BLUE CROSS OF WI |
Wisconsin | Other | 101-00485 | BLUE CROSS OF WI |
Wisconsin | MEDICAID | 036052893 | BLUE CROSS OF WI |
Wisconsin | Other | 31303800 | BLUE CROSS OF WI |
Wisconsin | Other | 791240158 | BLUE CROSS OF WI |
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