Brehm, Jodi L

Brehm, Jodi L is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Brehm, Jodi L can be contacted via phone (262) 648-5600.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142
Phone: (262) 648-5600
Fax: (262) 948-5735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036112238 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 52096 Wisconsin

Profile Details

NPI number 1649216045
LBN Legal business name Brehm, Jodi L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 24th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649216045 NPPES
Illinois MEDICAID 036112238
Illinois MEDICAID 35354900

Popular Providers