Ambord, Jeffrey Terrence

Ambord, Jeffrey Terrence is an individual health care provider with primary practice located at 3901 Stewart Ave , Wausau WI 54401-3948. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Ambord, Jeffrey Terrence can be contacted via phone (715) 907-0900.

Contact Information

Primary practice address
3901 Stewart Ave Wausau WI 54401-3948
Phone: (715) 907-0900
Fax: (715) 803-6977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1283-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1283-023 Wisconsin

Profile Details

NPI number 1942292396
LBN Legal business name Ambord, Jeffrey Terrence
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2005
Last updated Mar 14th, 2024 - 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 1942292396 NPPES
Wisconsin MEDICAID 42996200

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