Cross, Jeremy D.

Cross, Jeremy D. is an individual health care provider with primary practice located at 725 S Webster Ave , Green Bay WI 54301-3500. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cross, Jeremy D. can be contacted via phone (920) 433-7995.

Contact Information

Primary practice address
725 S Webster Ave Green Bay WI 54301-3500
Phone: (920) 433-7995
Fax: (920) 433-3458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10958-024 Wisconsin

Profile Details

NPI number 1932246246
LBN Legal business name Cross, Jeremy D.
Credentials M.S.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Feb 3rd, 2023 - 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 1932246246 NPPES
Wisconsin MEDICAID 36159200
Wisconsin Other P3663022
Wisconsin Other 027593-1

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