Anclam, Jeremy Robert
Anclam, Jeremy Robert is an individual health care provider with primary practice located at 1900 Woodland Dr , Manitowoc WI 54220-9662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Anclam, Jeremy Robert can be contacted via phone (920) 320-6212.Contact Information
Primary practice address
1900 Woodland Dr
Manitowoc WI 54220-9662
Phone: (920) 320-6212
Fax: (920) 684-5548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101017285 | Michigan |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 60788 | Wisconsin |
Profile Details
| NPI number | 1841495058 |
|---|---|
| LBN Legal business name | Anclam, Jeremy Robert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Jul 26th, 2013 - about 13 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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