Zifferblatt, Jocko R

Zifferblatt, Jocko R is an individual health care provider with primary practice located at 1405 Mill St , New London WI 54961-2155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Zifferblatt, Jocko R can be contacted via phone (920) 531-2000.

Contact Information

Primary practice address
1405 Mill St New London WI 54961-2155
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 41087-021 Wisconsin

Profile Details

NPI number 1437189420
LBN Legal business name Zifferblatt, Jocko R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Mar 16th, 2024 - about 8 months 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 1437189420 NPPES
Wisconsin MEDICAID 30093400
Wisconsin MEDICAID 114160684
Wisconsin Other 930077089
Wisconsin Other 930077090
Wisconsin Other 930079991

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