Wertsch, Jacqueline J
Wertsch, Jacqueline J is an individual health care provider with primary practice located at Va Medical Center 5000 West National Avenue, Milwaukee WI 53295-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Wertsch, Jacqueline J can be contacted via phone (414) 805-3666.Contact Information
Primary practice address
Va Medical Center 5000 West National Avenue
Milwaukee WI 53295-0001
Phone: (414) 805-3666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 23301 | Wisconsin |
Profile Details
| NPI number | 1902858442 |
|---|---|
| LBN Legal business name | Wertsch, Jacqueline J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1902858442 | NPPES |
| Wisconsin | MEDICAID | 30383500 |
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